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Maine rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Facilitymedian $100 · 10th–90th $25–$7410%10%10th90th$100Professionalmedian $0 · 10th–90th $0–$00%50%90th$0$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
$26.30 / $100.00 / $741.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.09
Community Health Options
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.24 / $0.24 / $0.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.10 / $0.21