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Pennsylvania 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 / $0.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.18
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.27 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.30
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.24
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.39
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.98 / $1.65
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $85.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.23