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Wisconsin rates for HCPCS A9578

Injection, gadobenate dimeglumine (MultiHance multipack), per ml

Facilitymedian $2 · 10th–90th $1–$680%10%20%10th90th$2Professionalmedian $2 · 10th–90th $1–$40%20%40%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0$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
$1.00 / $1.00 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $2.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $4.47 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $2.40 / $3.47
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $1.70 / $1.78
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $1.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $1.70 / $1.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $6.61
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $50.12 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $1.86
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $3.09
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $2.57 / $5.50
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.88 / $8.51
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $4.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.82 / $6.61