go back

Washington 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
$0.27 / $0.57 / $0.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.27 / $0.35
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $100.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.24 / $480.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.30
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.32 / $0.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.39 / $0.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $75.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.28 / $0.87
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.27