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Wyoming rates for HCPCS A9576

Injection, gadoteridol, (ProHance multipack), per ml

Facilitymedian $120 · 10th–90th $0$2630%20%10th90th$120Professionalmedian $4 · 10th–90th $1$40%50%10th$4$0.2$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
$0.19
Median
$120.23
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.41
Typical High
$1.41
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.89
Typical High
$3.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$2.63
Typical High
$5.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.95
Typical High
$1.95
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
$1.45