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Michigan rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Facilitymedian $81 · 10th–90th $0–$1320%20%10th90th$81Professionalmedian $2 · 10th–90th $0–$910%10%10th90th$2$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
$29.51 / $85.11 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $16.98 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $0.18 / $0.39
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.10
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.27 / $0.27 / $0.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.19 / $0.19
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $83.18 / $134.90
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.13 / $28.84
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.19 / $0.19
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