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Missouri rates for HCPCS A9577

Injection, gadobenate dimeglumine (MultiHance), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $78.52 / $375.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.78 / $6.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.90 / $2.96 / $4.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $2.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $2.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $3.51 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.74 / $2.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.74 / $2.17