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Illinois 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
$0.96 / $0.96 / $0.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $8.36 / $35.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.40 / $1.54
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.33 / $2.86
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.60