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South Carolina rates for HCPCS A9577

Injection Gadobenate Dimeglumine (Multihance) Per Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.95 / $156.87 / $698.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.83 / $1.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $5.55 / $6.89
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $3.74 / $6.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74