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Iowa rates for HCPCS A9577

Injection, gadobenate dimeglumine (MultiHance), per ml

Facilitymedian $6 · 10th–90th $3–$2,8180%20%10th90th$6Professionalmedian $1 · 10th–90th $1–$60%50%90th$1$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$2.69 / $6.31 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $6.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.19 / $2.29
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $3.16 / $10.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $3.72 / $12.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $3.98
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $2.63
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.40 / $2.40
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $2,818.38 / $7,943.28
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $3.16 / $3.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $2.24
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.74 / $1.82