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Alaska rates for HCPCS Q9961

High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.45 / $0.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.28 / $0.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.30 / $0.60
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.68
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.34 / $0.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.43 / $0.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.31 / $0.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.36 / $0.48