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Kansas rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.57 / $78.84 / $165.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.24 / $26.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $9.00 / $20.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.30 / $5.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.17
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 / $0.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.18 / $0.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.18