go back

Idaho 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
$0.07 / $53.84 / $114.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.09
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.53 / $0.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.09 / $0.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.08 / $0.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.13