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Utah rates for HCPCS Q9954

Oral magnetic resonance contrast agent, per 100 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.43 / $10.43 / $10.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.43 / $10.68 / $10.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $7.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.93 / $14.13 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.57 / $12.57 / $12.57