go back

Michigan 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
$0.08 / $70.20 / $421.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.15 / $0.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.07 / $0.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.09
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $83.44 / $421.20
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $75.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.09