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Hawaii 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
$0.24 / $0.24 / $0.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.35
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.44 / $0.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.28 / $0.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.24 / $0.36
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.36 / $0.39