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Massachusetts rates for HCPCS Q9953

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.90 / $14.90 / $20.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.02 / $14.90 / $16.64
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.22 / $120.56 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.10 / $62.05 / $93.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.94 / $76.20 / $148.05
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.33 / $63.33 / $74.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $62.05 / $65.15
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.10 / $62.05 / $93.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.10 / $62.05 / $83.10