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Rhode Island rates for HCPCS A9577

Injection Gadobenate Dimeglumine (Multihance) Per Ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.80 / $1.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $5.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.74 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $6.31