go back

South Carolina rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Facilitymedian $62 · 10th–90th $15–$5750%10%10th90th$62Professionalmedian $15 · 10th–90th $14–$190%50%10th90th$15$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $63.10 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.14 / $21.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $26.30 / $38.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $16.98 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $20.89 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $18.20 / $26.30
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $16.22