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New York rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $158.49 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.49 / $446.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $15.49
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $63.10
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $18.20 / $33.11
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $15.85 / $15.85
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $15.49
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $15.14 / $15.14
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $18.62 / $25.12
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $20.42
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $17.38
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $15.14 / $15.14