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Illinois rates for HCPCS Q9953

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.02 / $14.02 / $14.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.02 / $14.02 / $14.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.40 / $173.52 / $859.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.17 / $79.00 / $79.00
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.50 / $122.53 / $150.61
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $62.05 / $65.95