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Nebraska rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.70 / $30.03 / $364.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $212.80 / $280.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.18 / $16.68 / $222.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.82 / $16.64 / $16.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $17.64 / $22.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.70 / $32.02 / $112.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $14.70 / $17.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.76 / $17.64 / $20.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.76 / $17.64 / $31.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.23 / $17.26 / $30.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.99 / $14.73 / $17.04