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Minnesota rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $37.60 / $84.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $155.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.33 / $1.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.12 / $0.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.31 / $0.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.13 / $0.14
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.28 / $0.41
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.36 / $1.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.20