go back

Illinois rates for HCPCS A9585

Injection Gadobutrol 0.1 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.08 / $94.05 / $481.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.35 / $78.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $26.00 / $26.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.74 / $7.94 / $14.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.42 / $6.53
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.35 / $0.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.43