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Oregon rates for HCPCS A9577

Injection, gadobenate dimeglumine (MultiHance), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $41.69 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $2.57 / $3.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $3.98 / $5.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.91 / $37.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.95 / $3.24
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $2.24 / $3.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $2.57 / $5.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $2.19 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.14