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Vermont rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.14 / $1,096.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $16.60 / $16.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $16.60 / $16.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $17.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.79 / $32.36