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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
$14.73 / $197.96 / $219.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $22.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $16.04 / $16.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $15.00 / $18.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $17.07 / $24.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $14.70 / $64.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $14.73 / $16.20