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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
$1.91 / $70.65 / $386.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.76 / $6.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $2.58 / $3.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $3.93 / $5.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $3.42 / $6.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.85 / $2.39
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $2.25 / $5.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $2.58 / $5.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.27 / $3.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $2.00