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Kansas rates for HCPCS A9578

Injection, gadobenate dimeglumine (MultiHance multipack), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $6.63 / $6.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.75 / $2.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.88 / $2.14 / $2.68
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 / $1.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $2.50 / $6.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $8.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $2.91