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California rates for HCPCS A9578

Injection, gadobenate dimeglumine (MultiHance multipack), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $6.07 / $148.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.73 / $6.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $1.88 / $2.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.74 / $6.11
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.16 / $4.16 / $4.16
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.76 / $4.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $1.61 / $1.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $2.67
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $1.81 / $2.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.97 / $3.73
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $8.56 / $8.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $3.66 / $3.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $1.71 / $3.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $2.67
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.97 / $3.97 / $3.97
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.88 / $3.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $4.28