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Virginia rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Facilitymedian $28 · 10th–90th $6–$3720%10%10th90th$28Professionalmedian $2 · 10th–90th $0–$320%10%20%10th90th$2$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
$8.32 / $32.36 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $23.99 / $32.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.15
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.11 / $0.27
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $0.16 / $0.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.10 / $0.47
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.15 / $0.34
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.12 / $0.23
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.12 / $0.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.20 / $0.20 / $0.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.13