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Nebraska rates for HCPCS A9577

Injection, gadobenate dimeglumine (MultiHance), per ml

Facilitymedian $76 · 10th–90th $2–$2690%10%10th90th$76Professionalmedian $2 · 10th–90th $1–$130%20%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
$2.34 / $83.18 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.29 / $27.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.91 / $4.68
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $2.04 / $186.21
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.04 / $2.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $2.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.09 / $2.82
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $5.62 / $47.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $6.31
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.09 / $2.19
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $4.37 / $4.37
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,096.48 / $1,096.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $2.24 / $4.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.82 / $6.31