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Alaska rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $147.91 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $7.41 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.27 / $162.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.32 / $60.26
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.34 / $0.52
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.15 / $0.28