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Louisiana rates for HCPCS A9578

Injection Gadobenate Dimeglumine (Multihance Multipak) Per Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.76 / $3.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.73 / $1.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $2.99 / $3.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $1.99 / $2.02
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $3.57