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North Carolina rates for HCPCS Q9953

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $14.90 / $30.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.37 / $14.90 / $14.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $49.76 / $60.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.05 / $62.05 / $70.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $62.05 / $62.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.90 / $31.03 / $40.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.41 / $31.03 / $31.93
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.30 / $69.23 / $91.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $62.05 / $81.91
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.09 / $93.09 / $93.09