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New Hampshire rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $199.53 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.79 / $15.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $30.90 / $53.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $14.79 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $28.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79