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Maine rates for HCPCS Q9953

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.10 / $14.90 / $17.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $62.05 / $99,999.99
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $62.05 / $62.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.10 / $14.90 / $17.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $62.05 / $89.97