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Oklahoma rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $426.58 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $16.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $16.60 / $16.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $16.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $16.98 / $75.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79