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Virginia rates for HCPCS A9576

Injection, gadoteridol, (ProHance multipack), per ml

Facilitymedian $3 · 10th–90th $1$3160%10%20%10th90th$3Professionalmedian $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
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$6.17
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.41
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$2.29
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.41
Typical High
$3.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.95
Median
$2.63
Typical High
$3.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$1.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$1.38
Typical High
$1.86
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$2.45
Typical High
$3.47
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$2.14
Typical High
$3.47
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1.32
Median
$1.70
Typical High
$3.63
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.70
Typical High
$3.63
United
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$3.89
United
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$1.78