go back

Massachusetts rates for HCPCS A9576

Injection, gadoteridol, (ProHance multipack), per ml

Facilitymedian $4 · 10th–90th $1$890%10%10th90th$4Professionalmedian $1 · 10th–90th $1$30%20%40%10th90th$1$1.0$10.0$100.0$1.0K$10.0K

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
$1.00
Median
$2.45
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$4.68
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$4.47
Typical High
$6.31
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.41
Typical High
$3.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$3.63
Typical High
$5.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$2.95
Typical High
$6.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$1.38
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$2.04
Typical High
$6,918.31
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$2.29
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$4.47
Typical High
$6.31
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.41
Typical High
$3.47
United
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$2.34
Typical High
$3.09
United
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.41
Typical High
$2.63