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Pennsylvania rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.13 / $179.40 / $545.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $16.11 / $320.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.06 / $17.72 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.90 / $14.73 / $14.73
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 / $17.04
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.19 / $53.13 / $69.56
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.13 / $316.23 / $632.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $16.93 / $320.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.80 / $24.04 / $34.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.90 / $14.73 / $14.73
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $15.90
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.75 / $14.75 / $17.11
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.75 / $14.75 / $17.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $19.22