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Iowa 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
$0.12 / $0.13 / $89.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $14.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.10
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.12 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.16
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.07 / $0.07