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South 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
$0.25 / $9.42 / $30.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.24 / $0.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.27 / $0.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.24 / $0.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24