go back

West Virginia rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $79.43 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $23.99 / $32.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.17 / $0.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.24