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Utah rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Facilitymedian $35 · 10th–90th $0$830%20%10th90th$35Professionalmedian $0 · 10th–90th $0$00%20%10th90th$0$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $35.48 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $0.16 / $0.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.09
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.12
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.12 / $0.13 / $0.35
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.09 / $0.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.10