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Washington rates for HCPCS A9585

Injection Gadobutrol 0.1 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $70.75 / $881.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.70 / $126.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $49.00 / $71.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $1.11 / $85.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $1.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.34
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.46 / $0.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.50 / $0.88
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.35 / $0.84
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $0.67 / $0.67
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.67 / $0.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.28 / $0.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.34