go back

Arizona rates for HCPCS Q9951

Low osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $1.41 / $182.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.96 / $1.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $2.70 / $4.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.80 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $1.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $1.01 / $1.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56