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Arizona rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Facilitymedian $0 · 10th–90th $0–$4790%5%10th90th$0Professionalmedian $25 · 10th–90th $1–$2140%10%10th90th$25$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
$38.90 / $91.20 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $28.18 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.05 / $0.21 / $0.39
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.15 / $0.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.09
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $0.22 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.12 / $0.12 / $0.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.20 / $0.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.12