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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
$69.18 / $97.72 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $18.20 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.17 / $0.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.72 / $0.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $61.66 / $288.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.13 / $154.88
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.14 / $0.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.17 / $0.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.13 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.12