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Nebraska rates for HCPCS A9575

Injection Gadoterate Meglumine 0.1 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $61.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.62 / $155.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $9.00 / $9.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.13 / $222.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.13 / $0.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.14 / $0.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.28 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.17 / $0.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.20 / $0.47
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.13 / $0.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.11 / $0.17