go back

New Jersey 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
$18.59 / $143.55 / $447.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.59 / $18.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.59 / $21.52 / $27.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.59 / $18.59
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.29 / $19.29 / $20.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $19.05 / $22.78