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Idaho 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
$0.28 / $0.34 / $12.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.28 / $0.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.24 / $0.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $1.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.30 / $0.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.28 / $0.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.26 / $0.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.28 / $0.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.34