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Arizona 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
$42.07 / $101.90 / $706.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.13 / $0.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.06 / $0.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.09 / $0.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $360.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08