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Rhode Island rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Facilitymedian $74 · 10th–90th $34–$1350%20%10th90th$74Professionalmedian $107 · 10th–90th $0–$2140%10%10th90th$107$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
$45.71 / $79.43 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $138.04 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.17
Cigna
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 / $0.10