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New Hampshire rates for HCPCS A9578

Injection, gadobenate dimeglumine (MultiHance multipack), per ml

Facilitymedian $2 · 10th–90th $2$60%20%10th90th$2Professionalmedian $2 · 10th–90th $1$30%20%10th90th$2$1.0$2.0$5.0

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
$1.78 / $1.78 / $2.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $3.63 / $6.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $1.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $3.39 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $1.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $3.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.78 / $2.63