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Arizona rates for HCPCS A9576

Injection, gadoteridol, (ProHance multipack), per ml

Facilitymedian $2 · 10th–90th $1$50%10%10th90th$2Professionalmedian $1 · 10th–90th $1$30%50%90th$1$0.5$2.0$10.0$50.0

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
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$3.16
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.56
Median
$2.51
Typical High
$4.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.07
Typical High
$7.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$2.29
Typical High
$2.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$1.45
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$2.24
Typical High
$75.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$7.41
United
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$2.34
Typical High
$2.34
United
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$1.45