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Connecticut rates for HCPCS A9576

Injection, gadoteridol, (ProHance multipack), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $1.71 / $4.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.47 / $3.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $2.38 / $4.91
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
$1.41 / $1.41 / $1.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.53 / $1.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.42 / $1.58