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Tennessee rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $358.38 / $591.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.88 / $246.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $25.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $15.12 / $16.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.73
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.91 / $64.91 / $64.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.73