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North Carolina rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Facilitymedian $40 · 10th–90th $10–$6170%5%10th90th$40Professionalmedian $24 · 10th–90th $0–$780%10%10th90th$24$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
$9.77 / $48.98 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $25.70 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.22 / $0.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.14 / $0.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.11
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.17 / $0.41
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $831.76 / $954.99
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.18 / $0.30 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $0.20 / $0.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.16
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00