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Virginia 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 / $1.45 / $35.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.31
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.28 / $0.28
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.24 / $0.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.25 / $0.46
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.67 / $1.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.28 / $0.36
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.28 / $0.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.31