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Georgia 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
$22.39 / $61.66 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.28 / $1.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.30 / $0.85
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.28 / $0.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.56 / $0.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.31