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
$1.38 / $1.41 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $2.19 / $3.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.87 / $1.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.02 / $2.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56
United
Facility/Professional
Facility
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