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Michigan 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
$0.25 / $38.39 / $105.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.25 / $0.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.47 / $0.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $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 / $0.32
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.73 / $105.30
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.25 / $0.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $75.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.28