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Wisconsin 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
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.27 / $0.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.56 / $1.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.47 / $0.54
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.27 / $0.33
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.27 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.27 / $0.37
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $518.70
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.38 / $0.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.23