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Montana 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 / $0.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.28 / $0.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.15 / $0.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.30 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18