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Nebraska rates for HCPCS A9576

Injection, gadoteridol, (ProHance multipack), per ml

Facilitymedian $2 · 10th–90th $1$1860%20%10th90th$2Professionalmedian $1 · 10th–90th $1$70%20%40%10th90th$1$1.0$5.0$20.0$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
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$2.82
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$6.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.35
Median
$1.58
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$1.58
Typical High
$1.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$1.70
Typical High
$2.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.48
Median
$5.62
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$3.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$1.70
Typical High
$1.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$3.55
Typical High
$3.55
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$1.74
Typical High
$3.80
United
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$1.41
Typical High
$3.89