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Indiana rates for HCPCS A9576

Injection, gadoteridol, (ProHance multipack), per ml

Facilitymedian $2 · 10th–90th $2–$240%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $3.55 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.41
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $2.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $2.09 / $3.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $2.29
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $2.14 / $2.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $3.80 / $3.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $1.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $3.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $2.82