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Texas rates for HCPCS A9581

Eovist IV SOLN 0.25 MOL/L

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $252.00 / $910.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.88 / $212.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $11.03 / $11.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.45 / $40.29 / $81.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.38 / $16.38 / $16.38
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.00 / $14.70 / $319.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.55 / $95.55 / $95.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.90 / $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
$85.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.91 / $64.91 / $64.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.70 / $14.88 / $31.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.06 / $15.02 / $18.41
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $15.93 / $24.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.90 / $14.73 / $27.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.92
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $14.73 / $19.89