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Maryland rates for HCPCS A9578

Injection Gadobenate Dimeglumine (Multihance Multipak) Per Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.73
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $2.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.71 / $2.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $2.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $1.79 / $1.97