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Alaska rates for HCPCS Q9958

High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.34 / $335.34 / $500.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.10 / $0.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.18 / $0.28
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.14 / $0.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.14 / $0.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.12 / $0.16