go back

Gadobenate Dimeglumine (MultiHance) Injection

New Hampshire rates for HCPCS A9577

Injection, gadobenate dimeglumine (MultiHance), per ml

Rates data updated July 2026.

Facilitymedian $3 · 10th–90th $2$90%20%10th90th$3Professionalmedian $2 · 10th–90th $2$30%50%90th$2$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
$1.78
Median
$1.78
Typical High
$24.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$1.78
Typical High
$1.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$3.72
Typical High
$6.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$1.78
Typical High
$2.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$3.55
Typical High
$4.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$1.78
Typical High
$1.78
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$1.78
Typical High
$3.39
United
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$1.82
Typical High
$2.75