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New York rates for HCPCS A9581

Eovist IV SOLN 0.25 MOL/L

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $28.67 / $491.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $15.32 / $273.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $30.45
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.74 / $14.74 / $14.74
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.74 / $14.74 / $14.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.90 / $13.90 / $15.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $17.64
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.90 / $20.85 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $15.98 / $15.98
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $14.73 / $15.29
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $15.29
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $13.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.34 / $18.73 / $23.56
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.90 / $14.73 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $15.64 / $18.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $19.85
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.29 / $15.29 / $15.29
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $15.29 / $15.29