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Kentucky rates for HCPCS A9576

Injection, gadoteridol, (ProHance multipack), per ml

Facilitymedian $2 · 10th–90th $2$30%50%10th90th$2Professionalmedian $1 · 10th–90th $1$10%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 / $8.13 / $363.08
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 / $1.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $1.62 / $1.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $1.38
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.55 / $2.29
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.55 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $2.34 / $6.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $1.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $3.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $1.58