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Minnesota rates for HCPCS A9577

Injection, gadobenate dimeglumine (MultiHance), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $86.94 / $180.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.74 / $6.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.49 / $4.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.74 / $1.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.40 / $5.07 / $5.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $2.16 / $2.33
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.93 / $4.61 / $6.70
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $1.84 / $2.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $4.92 / $23.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $3.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $3.15