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Tennessee rates for HCPCS A9576

Injection, gadoteridol, (ProHance multipack), per ml

Facilitymedian $14 · 10th–90th $2$1200%5%10%10th90th$14Professionalmedian $1 · 10th–90th $1$10%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
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$16.22
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.41
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$1.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$2.14
Typical High
$2.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$1.38
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
United
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$3.09
United
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$2.29