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California rates for HCPCS A9585

Injection, gadobutrol, 0.1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.13 / $98.30 / $304.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $65.54 / $152.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $26.00 / $77.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.30 / $0.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.28 / $0.75
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.61
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.36 / $12.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.60
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.33 / $0.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.32 / $0.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.57 / $0.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.28 / $0.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.40
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.81
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.33 / $0.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.70