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Minnesota rates for HCPCS A9576

Injection, gadoteridol, (ProHance multipack), per ml

Facilitymedian $3 · 10th–90th $1–$50%20%10th90th$3Professionalmedian $1 · 10th–90th $1–$10%50%10th90th$1$1.0$2.0$5.0$10.0$20.0$50.0$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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.41
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $2.95 / $2.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.41 / $1.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $4.37 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.62 / $1.82
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.80 / $5.37
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.45 / $1.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $2.40 / $11.22
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $2.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $2.63