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North Carolina 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
$0.14 / $48.30 / $97.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.25 / $0.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.23 / $0.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.08 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.16
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.12 / $0.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.11
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.14 / $360.14 / $360.14