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Florida rates for HCPCS A9576

Injection Gadoteridol (Prohance Multipack) Per Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.42 / $3.38 / $375.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.42 / $1.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.90 / $99.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.41 / $1.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.42 / $1.42 / $1.42
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.50 / $1.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.42 / $1.49
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.42 / $1.42