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Indiana rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Facilitymedian $37 · 10th–90th $0–$1780%5%10%10th90th$37Professionalmedian $21 · 10th–90th $0–$660%10%10th90th$21$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
$10.47 / $52.48 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $25.70 / $69.18
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $15.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.14 / $0.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.14
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.11 / $0.11 / $0.17
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.11 / $0.11 / $0.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.13 / $0.25 / $0.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.20 / $0.20 / $0.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.20