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Vermont rates for HCPCS A9575

Injection Gadoterate Meglumine 0.1 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.12 / $97.78 / $130.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.13 / $0.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.22
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.13 / $0.22
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.25