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Ohio rates for HCPCS A9577

Injection, gadobenate dimeglumine (MultiHance), per ml

Facilitymedian $12 · 10th–90th $2$2450%10%10th90th$12Professionalmedian $1 · 10th–90th $1$30%20%40%10th90th$1$0.0$0.1$0.5$2.0$10.0$50.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $85.11 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $1.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $3.89 / $11.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.24 / $3.55
Aultcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $3.39 / $3.39
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $1.74
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $2.34 / $4.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $3.80 / $5.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $3.80
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $3.16 / $14.45
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $4.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.19 / $3.24
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $3.39 / $4.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $3.89 / $6.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $2.00