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New York 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
$0.12 / $0.15 / $0.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.15 / $0.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.30 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.30
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.39 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.28
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.18
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $85.00 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.28 / $0.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.25
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.12
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.15