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Michigan 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 / $2.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.59 / $1.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
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 / $0.48
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.22 / $2.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $65.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.59