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Alaska rates for HCPCS Q9960

High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.33 / $0.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.28 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.27 / $0.36