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Wisconsin 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 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.39 / $0.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.31 / $0.85
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.45
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.32 / $0.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $478.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.28 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.40 / $1.02
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $85.11 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.52 / $478.63
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.35 / $0.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.33