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Pennsylvania rates for HCPCS Q9954

Oral magnetic resonance contrast agent, per 100 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.06 / $10.68 / $27.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.43 / $10.68 / $15.90
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.74 / $7.89 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.31 / $8.31 / $8.31
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $38,249.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.68 / $10.68 / $85.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $27.55
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.80 / $18.80 / $28.88
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $7.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.57 / $12.57 / $15.84