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New Jersey rates for HCPCS A9576

Injection, gadoteridol, (ProHance multipack), per ml

Facilitymedian $9 · 10th–90th $2–$1350%10%10th90th$9Professionalmedian $1 · 10th–90th $1–$280%20%40%10th90th$1$1.0$5.0$20.0$100.0$500.0$2.0K$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $9.12 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $1.66 / $2.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $1.41
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.51
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $6,309.57 / $13,803.84
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.45 / $1.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.95 / $2.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.41 / $1.62