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Iowa rates for HCPCS A9576

Injection, gadoteridol, (ProHance multipack), per ml

Facilitymedian $4 · 10th–90th $1$1020%20%40%10th90th$4Professionalmedian $1 · 10th–90th $1$40%50%90th$1$1.0$5.0$20.0$100.0

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
$1.41
Median
$3.89
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$3.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$1.74
Typical High
$1.78
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$2.57
Typical High
$6.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.70
Median
$2.40
Typical High
$4.47
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$3.02
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$1.74
Typical High
$2.04
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$1.91
Typical High
$1.91
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$2.45
Typical High
$3.02
United
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$2.34
United
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$1.74
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.41
Typical High
$1.41