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Montana rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Facilitymedian $29 · 10th–90th $15–$9120%20%10th90th$29Professionalmedian $22 · 10th–90th $14–$2820%20%10th90th$22$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $426.58 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $24.55 / $281.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $46,773.51 / $91,201.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $16.98
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $15.49 / $44.67
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $15.49 / $44.67
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $43.65
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $16.98 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79