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Connecticut rates for HCPCS Q9950

Injection Sulfur Hexafluoride Lipid Microspheres Per Ml(Reinstated 01/01/2016) Low Osmolar Contrast Material 350-399 Mg/Ml Iodine Concentration Per Ml (Del 12/31/07)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.34 / $231.62 / $265.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.34 / $19.34 / $19.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.14 / $29.30 / $64.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.59 / $18.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.59 / $18.59 / $18.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.59 / $18.59
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.29 / $20.17 / $23.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.73 / $18.59 / $32.04