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Kansas rates for HCPCS A9577

Injection, gadobenate dimeglumine (MultiHance), per ml

Facilitymedian $38 · 10th–90th $3–$3800%5%10th90th$38Professionalmedian $1 · 10th–90th $1–$30%50%90th$1$1.0$5.0$20.0$100.0$500.0

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
$2.51 / $63.10 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $3.89
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $1.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $16.60 / $21.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $1.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $2.95 / $6.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $1.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $2.45 / $16.22
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $12.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $1.78 / $1.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $2.88