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New Hampshire 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 / $2.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.57 / $7.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $1.71 / $1.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $2.59 / $5.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $4.09
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $6.20 / $7.90