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South Dakota rates for HCPCS A9585

Injection, gadobutrol, 0.1 ml

Facilitymedian $219 · 10th–90th $19–$7760%10%20%10th90th$219Professionalmedian $91 · 10th–90th $0–$1410%20%40%10th90th$91$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
$72.44 / $218.78 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $134.90 / $141.25
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.27 / $0.27 / $0.28
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.27 / $0.27 / $0.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.26 / $0.33
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.44 / $0.79 / $4.79
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.26 / $0.28
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.30 / $0.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.37
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28