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Nebraska rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Facilitymedian $0 · 10th–90th $0–$8910%20%10th90th$0Professionalmedian $24 · 10th–90th $0–$1000%20%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
$61.66 / $61.66 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $23.99 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $8.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.11 / $186.21
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.11 / $0.12 / $0.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.11 / $0.14 / $0.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.13 / $0.23 / $85.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.12 / $0.12 / $0.24
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.13 / $0.14 / $0.14
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.13 / $0.28 / $0.28
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $1,047.13 / $1,122.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.15 / $0.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.24