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New York rates for HCPCS A9585

Injection, gadobutrol, 0.1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $85.11 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $57.54 / $165.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.26 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.50
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.38 / $0.68
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.33
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.46 / $1.10
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.28 / $0.43
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.34
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28