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South Carolina rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $63.10 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $19.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $26.30 / $38.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $16.98 / $19.05
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $16.98 / $25.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $15.85