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Arkansas rates for HCPCS A9578

Injection, gadobenate dimeglumine (MultiHance multipack), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $275.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $2.04 / $2.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $1.71 / $1.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $5.64