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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
$30.20 / $95.50 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $39.81 / $87.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $10.00 / $18.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.52 / $4.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.12
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.59 / $2.34
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.20 / $0.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.13