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Virginia 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
$26.02 / $192.35 / $399.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $19.52 / $19.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.59 / $39.22 / $63.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.59 / $18.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.04 / $29.63 / $44.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.54 / $17.54 / $18.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.59 / $18.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.80 / $22.31 / $34.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $18.59 / $35.11
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.66 / $22.49 / $32.40
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $22.49 / $32.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.29 / $18.59 / $23.33