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Georgia rates for HCPCS A9577

Injection Gadobenate Dimeglumine (Multihance) Per Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.85 / $270.75 / $813.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.76 / $3.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.89 / $1.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.73 / $1.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $3.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $4.03 / $4.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $2.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.31 / $16.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.89 / $3.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $4.30