go back

Tennessee 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
$23.44 / $53.70 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $1.26 / $26.30
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.28