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Arizona rates for HCPCS A9578

Injection, gadobenate dimeglumine (MultiHance multipack), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.78 / $48.78 / $108.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $1.88 / $6.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $2.84 / $4.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.37 / $6.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $2.69 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $6.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.71