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North Dakota rates for HCPCS A9578

Injection Gadobenate Dimeglumine (Multihance Multipak) Per Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.87 / $1.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.84 / $2.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $2.22 / $4.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $8.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.92