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Nationwide rates for HCPCS A9576

Injection, gadoteridol, (ProHance multipack), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $77.62 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $3.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.86 / $3.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.41 / $2.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.41 / $2.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $2.34 / $4.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $2.00