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Alaska rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Facilitymedian $148 · 10th–90th $0–$1620%20%10th90th$148Professionalmedian $7 · 10th–90th $0–$780%10%20%10th90th$7$0.1$0.5$2.0$10.0$50.0$200.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $147.91 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $7.41 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.09
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $33.88 / $162.18
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.28 / $60.26
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.18 / $0.18 / $0.52
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.19 / $0.19 / $0.27
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.15 / $0.28