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Oklahoma rates for HCPCS A9576

Injection, gadoteridol, (ProHance multipack), per ml

Facilitymedian $339 · 10th–90th $1$1,2880%10%20%10th90th$339Professionalmedian $1 · 10th–90th $1$20%50%90th$1$1.0$5.0$20.0$100.0$500.0

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 / $575.44 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $1.58 / $1.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $3.63 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $1.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.70 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $1.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $2.34 / $2.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $1.58