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West Virginia rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.35 / $70.00 / $95.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.12
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 / $0.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.22
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.35 / $2.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.24