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New Hampshire rates for HCPCS A9575

Injection Gadoterate Meglumine 0.1 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $96.04 / $454.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $28.00 / $28.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.17 / $0.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.12
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 / $0.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.17 / $0.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.20
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.27 / $0.77