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Texas rates for HCPCS A9585

Injection, gadobutrol, 0.1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $95.07 / $560.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $35.00 / $128.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.99 / $1.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.59 / $137.19
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.33 / $0.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.27 / $0.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.28 / $1.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.35
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.99 / $317.44 / $912.46
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.28 / $0.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.28 / $0.38