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Wisconsin rates for HCPCS A9585

Injection Gadobutrol 0.1 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.75 / $167.45 / $337.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $83.41 / $170.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.38 / $0.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.63 / $0.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.57 / $0.66
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.28 / $0.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $1.14 / $2.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.28 / $0.71
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.36 / $1.08
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.51 / $1.64
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.45