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California rates for HCPCS Q9953

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.55 / $14.55 / $145.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.02 / $14.55 / $16.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.21 / $65.15 / $74.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $62.05 / $129.06
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.69 / $30.98 / $77.88
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
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.33 / $24.33 / $29.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $638.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $90.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.09 / $93.09 / $99.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $65.77 / $134.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.02 / $16.01 / $62.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $62.05 / $62.05
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.33 / $24.33 / $36.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $62.05 / $91.21