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Indiana rates for HCPCS Q9959

High osmolar contrast material, 150-199 mg/ml iodine concentration, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $3.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $2.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.10 / $2.29