go back

Missouri 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
$38.90 / $93.33 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $64.57 / $109.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.11 / $0.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.11 / $0.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.09