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Texas rates for HCPCS A9578

Injection, gadobenate dimeglumine (MultiHance multipack), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $6.07 / $218.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.73 / $1.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.22 / $5.47 / $10.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $8.56 / $8.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.76 / $4.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $1.74 / $2.14
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.90 / $2.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $1.71 / $4.19
Providence
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 / $1.73
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.79 / $2.31