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New York rates for HCPCS A9576

Injection, gadoteridol, (ProHance multipack), per ml

Facilitymedian $4 · 10th–90th $1$1020%10%10th90th$4Professionalmedian $1 · 10th–90th $1$20%20%40%10th90th$1$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$1.41
Median
$48.98
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$6.76
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$1.38
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$1.45
Typical High
$1.51
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$1.45
Typical High
$1.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$1.82
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$6.03
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1.32
Median
$1.70
Typical High
$3.09
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$1.51
Typical High
$1.51
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$1.48
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.48
Typical High
$1.48
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$1.62
Typical High
$1.95
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$1.55
Typical High
$1.55
United
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$1.55
Typical High
$3.09
United
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$1.55
Typical High
$1.70
Univera
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$2.04
Univera
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.48
Typical High
$1.95