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West Virginia rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.88 / $551.64 / $551.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.88 / $16.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $22.10 / $22.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.15 / $34.15 / $34.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.90 / $14.73 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $27.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.54 / $40.40 / $47.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.48 / $14.73 / $21.33