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New Hampshire rates for HCPCS A9585

Injection, gadobutrol, 0.1 ml

Facilitymedian $93 · 10th–90th $1–$4270%10%10th90th$93Professionalmedian $0 · 10th–90th $0–$10%50%10th90th$0$0.5$2.0$10.0$50.0$200.0

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
$47.86 / $95.50 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $1.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.42 / $0.63 / $1.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.30 / $0.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $0.59 / $0.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.30 / $0.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.30 / $0.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.30 / $0.46