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Montana 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
$8.91 / $87.10 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $70.79 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $83,176.38 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.08
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.16
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.10 / $0.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.07