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Oregon rates for HCPCS A9577

Injection, gadobenate dimeglumine (MultiHance), per ml

Facilitymedian $31 · 10th–90th $2–$3890%10%20%10th90th$31Professionalmedian $2 · 10th–90th $1–$80%20%40%10th90th$2$1.0$5.0$20.0$100.0

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
$1.82 / $41.69 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $8.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $2.57 / $3.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $2.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.98 / $5.13
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $1.91 / $70.79
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.95 / $3.24
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $1.91 / $3.31
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $2.57 / $5.37
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.19 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $1.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $2.04