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Michigan rates for HCPCS A9585

Injection Gadobutrol 0.1 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $80.50 / $427.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $25.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $26.00 / $26.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.55 / $1.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.28 / $0.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.42 / $0.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.36
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $73.65 / $349.91
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $2.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.28 / $0.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.30