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New Hampshire 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
$0.07 / $20.16 / $598.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.12 / $0.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.08
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.13 / $0.21