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Gadobenate Dimeglumine (MultiHance) Injection

Montana rates for HCPCS A9577

Injection, gadobenate dimeglumine (MultiHance), per ml

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $2$1350%10%20%10th90th$6Professionalmedian $2 · 10th–90th $2$80%50%10th90th$2$2.0$20.0$200.0$2.0K$20.0K

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
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$46.77
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$1.95
Typical High
$8.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$6.76
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$2.04
Typical High
$5.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$1.78
Typical High
$2.04
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$5.62
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$5.62
Providence
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$2.04
Typical High
$5.37
Providence
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$2.04
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$1.82