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Illinois rates for HCPCS A9575

Injection Gadoterate Meglumine 0.1 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $97.62 / $210.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $62.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $9.00 / $9.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.84 / $6.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.50 / $0.51
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.18 / $1.96
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.16 / $0.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.17