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North Dakota rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $199.53 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $15.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.85 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $15.14 / $18.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $19.05 / $25.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $64.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $16.60