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Utah rates for HCPCS A9578

Injection, gadobenate dimeglumine (MultiHance multipack), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.98 / $1.98 / $1.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.98 / $1.98 / $1.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.11 / $2.59 / $4.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.81 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $2.11 / $2.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.71