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Texas rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Facilitymedian $89 · 10th–90th $0–$4170%5%10%10th90th$89Professionalmedian $0 · 10th–90th $0–$230%50%10th90th$0$0.1$0.5$5.0$50.0$500.0$5.0K

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
$36.31 / $114.82 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $23.44 / $346.74
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.91 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $0.45 / $0.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.12 / $0.12 / $0.12
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.11 / $74.13 / $331.13
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.11 / $0.11 / $0.11
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.23 / $0.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.09
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $1.00 / $1.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $66.07 / $398.11
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.11 / $154.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.07 / $0.07 / $0.08
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $724.44 / $724.44
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.12 / $0.32
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.13 / $0.20 / $0.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.12
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.10