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South Dakota rates for HCPCS A9585

Injection, gadobutrol, 0.1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.11 / $300.56 / $7,141.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.30 / $135.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.27 / $0.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.79 / $5.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.36 / $0.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.45 / $0.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26