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California rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $171.95 / $552.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.69 / $344.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $11.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.13 / $0.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.56
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.27 / $77.09
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.23 / $529.00
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 / $0.16
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.13 / $0.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.13 / $0.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.19
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.39
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.12 / $12.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.56 / $0.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.24