go back

North Carolina 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
$0.11 / $0.15 / $4.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.15 / $0.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.47 / $0.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.20 / $15.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.99 / $1.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.23
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.70 / $518.70 / $518.70