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Oregon rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Facilitymedian $91 · 10th–90th $0–$4170%20%10th90th$91Professionalmedian $1 · 10th–90th $0–$3020%10%10th90th$1$0.1$0.5$2.0$10.0$50.0$200.0

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
$69.18 / $97.72 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $1.41 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.11 / $0.17 / $0.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.79 / $0.85
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.14 / $218.78
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.13 / $154.88
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $0.13 / $0.21
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.16 / $0.36
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.13 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.12