go back

Rhode Island rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $141.25 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.14 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $15.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $14.79 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79