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Pennsylvania 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 / $30.13 / $165.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.24
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.17 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.08 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.39 / $0.56
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $31.57 / $240.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.08 / $14.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.12 / $0.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.08 / $85.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.09
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.12