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Utah rates for HCPCS A9585

Injection, gadobutrol, 0.1 ml

Facilitymedian $209 · 10th–90th $54–$3800%10%10th90th$209Professionalmedian $59 · 10th–90th $0–$890%20%10th90th$59$0.2$1.0$5.0$20.0$100.0$500.0

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
$58.88 / $208.93 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $60.26 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.32 / $0.38 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.30 / $0.30
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.19 / $0.28 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.30 / $0.40
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.36 / $0.91
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.27 / $0.30 / $0.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28