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Delaware rates for HCPCS A9577

Injection, gadobenate dimeglumine (MultiHance), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $790.44 / $998.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.67 / $24.67 / $24.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $1.74 / $5.36