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Wyoming rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.70 / $14.70 / $14.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $14.70 / $14.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.48 / $17.04 / $17.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.90 / $13.90 / $13.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $20.84 / $20.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.73