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Idaho rates for HCPCS A9578

Injection, gadobenate dimeglumine (MultiHance multipack), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.88 / $2.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $1.71 / $1.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.88 / $2.27 / $5.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.88 / $2.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.59 / $3.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $2.04 / $2.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $2.74