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Michigan 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
$0.09 / $0.09 / $0.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.18 / $0.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.09 / $0.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.17 / $0.38
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.09 / $0.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $65.00