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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
$38.90 / $338.84 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.14 / $354.81
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $17.78 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $15.85 / $18.20
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $18.20 / $25.70
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $53.70 / $70.79
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $338.84 / $575.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.14 / $245.47
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $15.85 / $31.62
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $16.98 / $23.99
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $14.79 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $18.62