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West Virginia rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Facilitymedian $78 · 10th–90th $56–$1910%20%10th90th$78Professionalmedian $0 · 10th–90th $0–$00%50%10th90th$0$0.1$0.5$2.0$10.0$50.0

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
$56.23 / $77.62 / $190.55
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.11 / $0.17 / $0.17
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.27 / $0.27 / $0.27
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.13 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $0.33 / $0.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.17 / $0.17 / $0.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.24