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Virginia 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
$20.89 / $54.95 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $64.57 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.07 / $0.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.09 / $0.16
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.09 / $0.12
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.09 / $0.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.13 / $0.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.09