go back

Ohio 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 / $2.25 / $4.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.96 / $0.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.14 / $1.12
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 / $0.40 / $0.48
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.46 / $21.68 / $64.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.66