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Illinois rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Facilitymedian $89 · 10th–90th $20–$3240%10%20%10th90th$89Professionalmedian $33 · 10th–90th $1–$780%10%10th90th$33$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $95.50 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $38.02 / $83.18
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $14.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.50 / $0.52 / $4.47
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.50 / $0.50 / $0.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $0.17 / $0.22
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.10
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.11 / $0.59 / $2.34
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.14 / $0.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $0.20 / $0.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.13