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Utah rates for HCPCS A9585

Injection, gadobutrol, 0.1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.84 / $188.76 / $375.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $46.66 / $88.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.42 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.28 / $0.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.35 / $0.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28