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Oregon 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 / $1.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $6.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $2.54 / $3.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $3.93 / $5.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $3.42 / $7.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.81 / $2.22
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.81 / $3.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $2.54 / $5.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $2.24 / $3.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $2.04