go back

Idaho rates for HCPCS A9577

Injection, gadobenate dimeglumine (MultiHance), per ml

Facilitymedian $87 · 10th–90th $2–$2240%20%10th90th$87Professionalmedian $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
$18.20 / $125.89 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $4.47 / $5.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $4.90 / $5.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $2.04 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $1.78
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $2.24 / $190.55
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.95 / $3.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.32 / $1.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $2.14
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $2.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $2.88