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North Carolina rates for HCPCS A9578

Injection, gadobenate dimeglumine (MultiHance multipack), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.84 / $4.08 / $4.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.84 / $1.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.65 / $4.49 / $5.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.80
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 / $3.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.84 / $2.63 / $6.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $2.81 / $4.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $2.25
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $8.56 / $8.56