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Washington rates for HCPCS A9576

Injection, gadoteridol, (ProHance multipack), per ml

Facilitymedian $2 · 10th–90th $1$790%20%10th90th$2Professionalmedian $1 · 10th–90th $1$40%20%10th90th$1$1.0$5.0$20.0$100.0$500.0$2.0K

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
$3.72
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$2.14
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$1.38
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$1.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$6.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$1.70
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$1.78
Typical High
$3.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.91
Typical High
$3.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$64.57
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$1.62
Typical High
$2.57
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$1.38
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$1.45
United
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$1.45
Typical High
$3.39
United
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$1.70
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$1.82