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Louisiana rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Facilitymedian $148 · 10th–90th $0–$3550%10%10th90th$148Professionalmedian $19 · 10th–90th $0–$350%10%10th90th$19$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
$50.12 / $190.55 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $20.89 / $41.69
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $0.12 / $0.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.12 / $0.12 / $0.12
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.17 / $0.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.12 / $0.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.16