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Oregon rates for HCPCS A9575

Injection Gadoterate Meglumine 0.1 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $96.01 / $412.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $14.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.17 / $0.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.79 / $0.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.24 / $0.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.15
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.15 / $0.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.16 / $0.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.15 / $0.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.13