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New York 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 / $5.22 / $81.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.07 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.09
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.11 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.08
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.13
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.07 / $85.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.12
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.08 / $0.08
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08