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Maryland rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Facilitymedian $224 · 10th–90th $45–$2820%20%10th90th$224Professionalmedian $21 · 10th–90th $0–$420%10%20%10th90th$21$0.1$0.5$2.0$10.0$50.0$200.0

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
$44.67 / $223.87 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $22.91 / $41.69
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.11 / $0.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.09 / $0.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.12 / $0.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.12
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.12