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Wisconsin rates for HCPCS A9585

Injection, gadobutrol, 0.1 ml

Facilitymedian $178 · 10th–90th $60–$3390%10%10th90th$178Professionalmedian $76 · 10th–90th $0–$2000%10%10th90th$76$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$74.13 / $177.83 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $100.00 / $234.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.30 / $0.43
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $0.63 / $0.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.27 / $0.41 / $0.68
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.33
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.31 / $0.31 / $0.31
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $1.20 / $2.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.26 / $0.71
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $50.12 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.36 / $0.36 / $0.95
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.63
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.31 / $0.48 / $1.10
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.27 / $0.27 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.27 / $0.51 / $1.62
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.42 / $0.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.26 / $0.26 / $0.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $2.09