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Montana rates for HCPCS A9578

Injection, gadobenate dimeglumine (MultiHance multipack), per ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $6.07 / $6.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.06 / $5.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $2.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.06 / $5.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $2.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.71