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Hawaii rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Facilitymedian $380 · 10th–90th $380–$4570%20%40%90th$380Professionalmedian $21 · 10th–90th $0–$320%10%20%10th90th$21$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $23.99 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.14
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.11 / $0.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.15