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Wisconsin rates for HCPCS A9575

Injection Gadoterate Meglumine 0.1 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $152.02 / $220.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $212.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.17 / $0.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.27 / $0.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.22 / $0.25
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.33 / $0.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.18 / $1.08
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.21 / $0.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.17