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Missouri rates for HCPCS A9577

Injection, gadobenate dimeglumine (MultiHance), per ml

Facilitymedian $87 · 10th–90th $2–$3630%10%10th90th$87Professionalmedian $2 · 10th–90th $1–$60%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
$2.75 / $95.50 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $8.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $5.01 / $12.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $2.24
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $1.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $3.31 / $5.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $2.29
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $3.72 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.74 / $5.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $2.45 / $2.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.82 / $2.24