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Virginia 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 / $3.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.73 / $1.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $2.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $4.24
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.97 / $2.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $2.35 / $3.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.06 / $5.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $2.06 / $6.30
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $2.06 / $6.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $2.15