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Connecticut rates for HCPCS A9577

Injection Gadobenate Dimeglumine (Multihance) Per Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $4.84 / $123.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.81 / $1.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.91 / $6.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.89 / $2.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $5.81