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Maine rates for HCPCS A9578

Injection, gadobenate dimeglumine (MultiHance multipack), per ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.78 / $1.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.29 / $5.29 / $5.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.71
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $2.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.78 / $1.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $2.99