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Pennsylvania rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $78.00 / $262.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $41.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $18.00 / $19.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.40 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.12 / $0.14
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.56 / $5.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $92.91 / $356.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $41.71
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.59 / $568.39 / $797.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.18 / $0.27
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.16
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.20