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Missouri rates for HCPCS A9578

Injection, gadobenate dimeglumine (MultiHance multipack), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.76 / $6.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.75 / $6.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $2.91 / $4.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $2.14
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 / $2.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $3.14 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.71 / $2.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $2.13