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Washington, DC rates for HCPCS A9576

Injection, gadoteridol, (ProHance multipack), per ml

Facilitymedian $1 · 10th–90th $1$50%50%90th$1Professionalmedian $1 · 10th–90th $1$20%50%90th$1$1.0$2.0$5.0$10.0$20.0

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
Facility
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$2.19
Typical High
$4.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$2.88
Typical High
$4.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$1.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$1.17
Typical High
$1.74
United
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$2.29