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Vermont rates for HCPCS A9577

Injection Gadobenate Dimeglumine (Multihance) Per Ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.97 / $1.97 / $1.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $2.04 / $3.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $3.84
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $2.04 / $3.42
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $3.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $5.22