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Idaho 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 / $0.15 / $0.15
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.15 / $0.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $30.00 / $3,900.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.25