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Maine 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
$8.32 / $9.33 / $66.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $9.33 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.36