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Arizona rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $72.48 / $202.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $156.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $18.00 / $18.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.21 / $0.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.09 / $0.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.22 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11