go back

Missouri rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Facilitymedian $91 · 10th–90th $1–$2510%20%10th90th$91Professionalmedian $10 · 10th–90th $0–$320%10%20%10th90th$10$0.1$0.5$5.0$50.0$500.0$5.0K

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
$19.50 / $93.33 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $23.44 / $33.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.25 / $1.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.17 / $0.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.11
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $0.24 / $85.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.12 / $0.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $0.16 / $0.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.12