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West Virginia rates for HCPCS A9578

Injection, gadobenate dimeglumine (MultiHance multipack), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.65 / $91.16 / $888.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $2.57 / $2.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.97 / $3.97 / $3.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $1.71 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $3.42
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $4.09 / $5.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.71 / $6.63