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Wisconsin rates for HCPCS A9576

Injection, gadoteridol, (ProHance multipack), per ml

Facilitymedian $2 · 10th–90th $1$870%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1$30%20%40%10th90th$1$1.0$5.0$20.0$100.0

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
$56.23
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$2.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.86
Median
$3.63
Typical High
$5.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.91
Typical High
$3.02
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1.32
Median
$1.41
Typical High
$1.48
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$1.58
Typical High
$1.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.32
Median
$2.88
Typical High
$19.05
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$3.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$50.12
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$1.62
Typical High
$1.62
Network Health
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$1.55
Typical High
$2.40
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$2.04
Typical High
$4.37
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$100.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$2.14
Typical High
$7.41
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$1.86
Typical High
$2.29
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
$2.04