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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
$22.03 / $119.29 / $536.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $14.73 / $37.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $27.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.36 / $37.39 / $41.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $14.86 / $17.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $17.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.50 / $14.71 / $26.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.50 / $13.50 / $13.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.75 / $24.22 / $28.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $21.06
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.91 / $64.91 / $64.91