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New York rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $48.69 / $414.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.14 / $34.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.18 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.12 / $0.12
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.12
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.12
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.22 / $0.95
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.19
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.12