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Hawaii rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.40 / $453.40 / $453.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $21.00 / $48.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.14
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.14 / $0.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.14 / $0.17
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.15