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Hawaii rates for HCPCS A9578

Injection, gadobenate dimeglumine (MultiHance multipack), per ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $2.15
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $2.04 / $2.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $2.15 / $2.57
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $1.81