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Ohio rates for HCPCS A9577

Injection, gadobenate dimeglumine (MultiHance), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.71 / $6.46 / $289.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.74 / $2.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $4.07 / $11.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.87 / $3.47
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.37 / $2.37 / $3.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $2.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $3.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $4.92
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $5.98 / $20.48
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $6.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $2.17 / $2.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $2.44