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Missouri 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
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.30 / $0.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.40 / $0.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $1.11 / $2.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.56 / $0.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.56 / $0.67