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Indiana 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 / $0.62 / $0.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.48 / $0.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.28 / $0.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.31