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Gadobenate Dimeglumine (MultiHance) Injection

Wisconsin rates for HCPCS A9577

Injection, gadobenate dimeglumine (MultiHance), per ml

Rates data updated July 2026.

Facilitymedian $10 · 10th–90th $3$340%10%10th90th$10Professionalmedian $2 · 10th–90th $2$80%20%40%10th90th$2$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$10.96
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$3.16
Typical High
$30.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$1.78
Typical High
$2.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$4.47
Typical High
$7.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$3.24
Typical High
$3.63
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1.74
Median
$1.74
Typical High
$2.00
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$1.86
Typical High
$2.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.74
Median
$6.76
Typical High
$28.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$1.74
Typical High
$6.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$50.12
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$1.95
Network Health
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$1.91
Typical High
$3.24
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$1.74
Median
$1.74
Typical High
$2.00
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$1.86
Typical High
$1.86
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$2.63
Typical High
$5.50
Quartz
Setting
Facility
Modifier
Global
Typical Low
$2.40
Median
$5.50
Typical High
$100.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$3.31
Typical High
$12.02
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$2.40
Typical High
$2.95
United
Setting
Facility
Modifier
Global
Typical Low
$1.78
Median
$1.78
Typical High
$4.17
United
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$2.40
Typical High
$87.10