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North Dakota rates for HCPCS A9577

Injection Gadobenate Dimeglumine (Multihance) Per Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $162.50 / $180.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.74 / $2.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.90 / $1.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.84 / $2.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $4.88 / $11.85
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 / $1.91