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Oklahoma rates for HCPCS A9577

Injection, gadobenate dimeglumine (MultiHance), per ml

Facilitymedian $339 · 10th–90th $2$5250%10%20%10th90th$339Professionalmedian $1 · 10th–90th $1$20%50%90th$1$1.0$5.0$20.0$100.0$500.0

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
$3.16 / $338.84 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $4.68 / $5.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $1.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $2.57 / $21.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $2.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $3.02 / $3.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $1.95