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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
$15.91 / $423.84 / $456.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $15.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.90 / $13.90 / $14.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.78 / $17.04 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $14.70 / $17.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $15.61