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Ohio rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Facilitymedian $62 · 10th–90th $8$2690%10%10th90th$62Professionalmedian $10 · 10th–90th $0$380%10%10th90th$10$0.0$0.2$2.0$20.0$200.0$2.0K

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
$9.77 / $63.10 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $25.12 / $47.86
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $18.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.19 / $0.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.11 / $0.18
Aultcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.13 / $0.13 / $0.13
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.11 / $0.11 / $0.11
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.11 / $0.15 / $0.27
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.16 / $0.18 / $0.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.20
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.21 / $1.45
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.24
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.11 / $0.12 / $0.18
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.16 / $0.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.26 / $0.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.12