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Oregon rates for HCPCS A9576

Injection, gadoteridol, (ProHance multipack), per ml

Facilitymedian $1 · 10th–90th $1$30%20%40%10th90th$1Professionalmedian $1 · 10th–90th $1$20%20%40%10th90th$1$1.0$2.0$5.0$10.0$20.0$50.0

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
$1.00
Median
$1.41
Typical High
$1.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$2.04
Typical High
$2.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$1.58
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$3.24
Typical High
$4.27
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$1.48
Typical High
$2.75
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.55
Typical High
$2.75
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$1.55
Typical High
$2.69
Providence
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$2.04
Typical High
$4.37
Providence
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.74
Typical High
$79.43
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$1.38
United
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$1.62