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New Jersey rates for HCPCS A9577

Injection, gadobenate dimeglumine (MultiHance), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $29.84 / $545.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.76
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $4.20 / $4.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $2.16 / $2.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.89 / $1.89
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $2.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $2.18