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Utah rates for HCPCS A9581

Eovist IV SOLN 0.25 MOL/L

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.09 / $62.12 / $623.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.09 / $17.09 / $518.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.14 / $21.56 / $35.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.73 / $19.39 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $18.14 / $19.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.73