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Ohio 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
$0.09 / $20.00 / $92.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.19 / $0.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.15
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.17 / $3.17 / $3.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.11
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.41 / $1.36
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.11