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Nebraska rates for HCPCS A9578

Injection, gadobenate dimeglumine (MultiHance multipack), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.71 / $97.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $6.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.94 / $222.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $1.94 / $1.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $2.17 / $2.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.77 / $3.91 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $6.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.17 / $2.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.35 / $4.28
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.06 / $3.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.71 / $2.57