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Kentucky rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $121.32 / $519.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $18.00 / $18.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.14 / $0.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.12