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Pennsylvania rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Facilitymedian $93 · 10th–90th $35$3980%20%10th90th$93Professionalmedian $93 · 10th–90th $1$3800%10%20%10th90th$93$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$38.90 / $95.50 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $154.88 / $380.19
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.11 / $7.94 / $18.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $0.40 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $0.40 / $0.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.32 / $0.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.09
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.10 / $0.10
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.09
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.14 / $0.21
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.44 / $0.56 / $5.75
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.24 / $1.26 / $3.98
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $562.34 / $794.33
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.18 / $0.60
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.13 / $0.18
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.13 / $0.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.20