go back

California 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
$1.20 / $1.20 / $10.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $0.96 / $1.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.89 / $65.70
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.14 / $0.35
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 / $0.47 / $3.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $100.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $90.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.96 / $1.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $2,250,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $1.00