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Michigan rates for HCPCS A9578

Injection, gadobenate dimeglumine (MultiHance multipack), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $36.72 / $85.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.76 / $1.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $2.59 / $4.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $1.74 / $2.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $2.02
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $6.63 / $81.86
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $2.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.87