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Minnesota 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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.50 / $1.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.12 / $0.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $1.19 / $1.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.38 / $0.48
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.99 / $1.31
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.27 / $0.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.27