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Indiana rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $48.38 / $229.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $28.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $17.00 / $18.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.22 / $0.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.11 / $0.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.14
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 / $0.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.15