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Massachusetts rates for HCPCS A9575

Injection Gadoterate Meglumine 0.1 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.52 / $80.68 / $205.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $22.80 / $126.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.44 / $85.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.15 / $0.32
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $2,867.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.18
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.60 / $208.93 / $250.71
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $85.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.96
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.14 / $0.14
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.14 / $0.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.20