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North Carolina 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
$0.20 / $0.48 / $35.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.24 / $0.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.56 / $0.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.23 / $0.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.24 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.20 / $0.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.16 / $0.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.39 / $0.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.31
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.32 / $480.32 / $480.32