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Colorado rates for HCPCS A9576

Injection, gadoteridol, (ProHance multipack), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $98.63 / $141.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.42 / $2.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $2.56 / $4.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.42 / $1.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.33 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.63
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.42 / $2.15 / $2.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.56 / $2.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.42 / $1.42