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Pennsylvania 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 / $0.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $1.90 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,249.62 / $38,249.62 / $38,249.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.15 / $0.25
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00