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Montana rates for HCPCS A9585

Injection, gadobutrol, 0.1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.78 / $193.02 / $1,680.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $76.66 / $144.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $1.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $1.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28