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New Jersey rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $168.93 / $635.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $16.05
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.51 / $68.51 / $68.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $17.26 / $22.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.73
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.29 / $15.98 / $15.99
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,628.00 / $7,628.00 / $7,628.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $14.70 / $16.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $15.61