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Washington 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
$0.80 / $0.96 / $1.20
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $90.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $1.51 / $65.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.48 / $0.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.47 / $0.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $80.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.62