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Florida rates for HCPCS A9577

Injection, gadobenate dimeglumine (MultiHance), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $302.00 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.35 / $4.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.82 / $1.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.91 / $2.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $3.02 / $5.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.86
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82