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Idaho rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.82 / $87.52 / $220.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.15
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 / $0.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.20 / $0.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.13 / $0.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.11 / $0.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.14 / $0.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.15