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Arizona rates for HCPCS Q9953

Injection, iron-based magnetic resonance contrast agent, per ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.02 / $14.55 / $14.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $3.18 / $5.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.80 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.05 / $62.05 / $62.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $62.05 / $62.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.20 / $16.01 / $42.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $62.05 / $62.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $62.05 / $62.05