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Arizona rates for HCPCS Q9954

Oral magnetic resonance contrast agent, per 100 ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.43 / $10.68 / $15.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.80 / $34.95 / $57.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.70 / $8.80 / $11.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.66 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $7.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.34 / $13.52 / $34.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.57 / $12.57 / $12.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.57 / $12.57 / $12.57