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Kansas rates for HCPCS A9577

Injection, gadobenate dimeglumine (MultiHance), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.43 / $63.47 / $416.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.78 / $2.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.72 / $17.36 / $23.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
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 / $1.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $2.56 / $16.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $12.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $2.96