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North Carolina rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $48.98 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $25.70 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $12.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $1.38 / $1.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.22 / $0.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.17 / $0.41
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $851.14 / $954.99
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.30 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.20 / $0.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.14
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $0.95 / $0.95