go back

Utah rates for HCPCS Q9961

High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.41 / $0.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.35
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.26 / $0.37
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.24 / $0.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26