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California rates for HCPCS Q9961

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.87 / $45.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.30 / $0.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.28 / $0.63
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.66 / $0.66
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.31
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.28 / $0.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.28 / $0.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.32 / $480.32 / $480.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.59 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.25 / $0.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.35
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.19 / $0.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.45