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Kansas rates for HCPCS A9576

Injection, gadoteridol, (ProHance multipack), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.98 / $3.86 / $393.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.44 / $1.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.83 / $7.96 / $10.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $2.15 / $3.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.42 / $7.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.42 / $2.27