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Nebraska rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Facilitymedian $126 · 10th–90th $15–$6310%10%20%10th90th$126Professionalmedian $25 · 10th–90th $14–$2820%20%40%10th90th$25$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $316.23 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $48.98 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $16.60 / $186.21
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $16.60 / $16.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $17.78 / $22.91
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $32.36 / $117.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $17.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $17.78 / $17.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $37.15 / $37.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $17.78 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.79 / $16.98