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South Carolina rates for HCPCS A9576

Injection, gadoteridol, (ProHance multipack), per ml

Facilitymedian $39 · 10th–90th $1$980%10%10th90th$39Professionalmedian $1 · 10th–90th $1$40%50%90th$1$0.1$0.5$2.0$10.0$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
$1.48
Median
$48.98
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$9.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.07
Median
$0.07
Typical High
$2.45
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$1.82
Typical High
$3.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.58
Median
$1.95
Typical High
$3.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$1.38
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$2.00
Typical High
$4.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$2.34
United
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$1.55