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Vermont rates for HCPCS A9578

Injection Gadobenate Dimeglumine (Multihance Multipak) Per Ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.94 / $1.94 / $1.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $2.04 / $3.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $3.84
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $2.04 / $3.41
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $3.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $5.13