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Michigan rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $85.11 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $20.89 / $87.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $18.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.18 / $0.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.12
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $83.18 / $134.90
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.13 / $32.36
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.12 / $0.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.12