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Georgia rates for HCPCS A9577

Injection, gadobenate dimeglumine (MultiHance), per ml

Facilitymedian $331 · 10th–90th $4–$8130%20%10th90th$331Professionalmedian $2 · 10th–90th $1–$30%20%40%10th90th$2$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $331.13 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $3.31
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $2.88 / $3.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $8.91 / $9.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $1.78
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $1.74
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $4.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $3.31 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $2.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.14 / $10.00
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $4,677.35
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.82 / $2.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $3.55 / $5.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $3.16