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South Carolina rates for HCPCS A9578

Injection, gadobenate dimeglumine (MultiHance multipack), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $4.54 / $135.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.80 / $1.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.38 / $3.38 / $3.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $5.83 / $7.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $1.61 / $1.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $3.62 / $6.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.88