go back

Kansas rates for HCPCS A9576

Injection, gadoteridol, (ProHance multipack), per ml

Facilitymedian $8 · 10th–90th $1$7590%5%10%10th90th$8Professionalmedian $1 · 10th–90th $1$40%50%90th$1$1.0$5.0$20.0$100.0$500.0

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
$1.00 / $30.90 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $3.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $7.59 / $9.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $2.24 / $5.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $1.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $2.14 / $3.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $7.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $1.38 / $1.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $2.29