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California rates for HCPCS Q9960

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.66 / $1.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.16 / $0.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.19 / $0.31
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.13 / $0.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.70 / $518.70 / $518.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.57 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.27 / $0.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.30
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.65 / $0.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.34