go back

South Carolina rates for HCPCS A9578

Injection, gadobenate dimeglumine (MultiHance multipack), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $7.41 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $81.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.39 / $3.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $2.29 / $6.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $1.78 / $1.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.78 / $1.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $2.29 / $6.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.78 / $1.86