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Delaware rates for HCPCS A9578

Injection, gadobenate dimeglumine (MultiHance multipack), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.90 / $87.75 / $128.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.73 / $1.73
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