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Minnesota 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 / $0.08 / $2.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.16 / $1.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.07 / $0.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $0.24 / $0.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.10
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.21 / $0.27
Health Partners
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 / $0.08 / $0.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.11