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South Carolina rates for HCPCS A9577

Injection, gadobenate dimeglumine (MultiHance), per ml

Facilitymedian $120 · 10th–90th $3$6920%10%20%10th90th$120Professionalmedian $2 · 10th–90th $1$1100%20%40%10th90th$2$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
$6.92 / $120.23 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $134.90
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $1.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.34 / $6.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.51 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $1.78
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $2.51 / $6.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $2.00