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North Carolina rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $123.03 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $40.74 / $42.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $16.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $17.78 / $33.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $26.92 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $24.55 / $26.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $19.05
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57