go back

Missouri rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $162.18 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.14 / $275.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $33.11 / $38.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $18.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $14.79 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $17.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $22.39 / $75.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $14.79 / $21.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $19.50 / $22.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.79 / $16.98