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Montana rates for HCPCS A9578

Injection, gadobenate dimeglumine (MultiHance multipack), per ml

Facilitymedian $2 · 10th–90th $2–$100%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$80%50%90th$1$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $46,773.51 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $5.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $2.04
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $1.86 / $5.37
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.86 / $5.37
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $5.25
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.04 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $1.78