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Ohio rates for HCPCS Q9954

Oral magnetic resonance contrast agent, per 100 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.90 / $37.36 / $44.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.06 / $10.68 / $15.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $12.99 / $22.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $21.25 / $25.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $7.87
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $7.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $13.99 / $16.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.57 / $12.57 / $16.17