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Massachusetts 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 / $0.15 / $0.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.18
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.59 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.18 / $0.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.34 / $0.73
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.28
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.18 / $0.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.18 / $0.27