go back

Montana rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $426.58 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $21.88 / $281.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $46,773.51 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $16.98
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $15.49 / $44.67
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $15.49 / $44.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $16.98 / $43.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $16.98 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79