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Washington rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Facilitymedian $91 · 10th–90th $0–$3310%10%10th90th$91Professionalmedian $1 · 10th–90th $0–$2450%5%10%10th90th$1$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$42.66 / $100.00 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $14.13 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $19.05
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.09
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.11 / $0.11 / $0.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.11
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.14 / $0.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.14 / $0.83
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.11 / $0.13 / $0.21
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $0.23
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $0.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.09
Regence BlueShield
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
$0.12 / $0.12 / $0.28
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 / $0.12