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Massachusetts 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 / $3.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $5.38 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $5.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $4.62 / $8.50
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 / $1.71
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $83.43 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $2.76
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
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 / $5.64