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Indiana rates for HCPCS A9578

Injection, gadobenate dimeglumine (MultiHance multipack), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $4.30 / $4.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $3.42 / $5.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.71 / $2.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.71 / $2.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $2.65
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 / $4.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $2.27