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New Mexico rates for HCPCS A9577

Injection, gadobenate dimeglumine (MultiHance), per ml

Facilitymedian $324 · 10th–90th $3$4270%20%10th90th$324Professionalmedian $1 · 10th–90th $1$80%50%90th$1$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$19.05 / $323.59 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $27.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $69,183.10 / $81,283.05
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $2.14 / $2.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $3.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $1.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.45 / $60.26
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $2.95 / $4.17
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $1.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $1.82 / $2.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $1.82