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Colorado rates for HCPCS A9577

Injection, gadobenate dimeglumine (MultiHance), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $61.49 / $852.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.74 / $2.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.23 / $3.13 / $5.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.64 / $2.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $2.06
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $2.65 / $3.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.92 / $3.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74