go back

North Carolina rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $38.90 / $351.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.17 / $0.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $1.33 / $1.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.22 / $0.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.32 / $0.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.54 / $0.54
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.29 / $849.29 / $1,953.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.18 / $0.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.15
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96