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Vermont rates for HCPCS A9578

Injection, gadobenate dimeglumine (MultiHance multipack), per ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $1.95 / $1.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $1.95 / $1.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.78 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.78 / $4.07