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West 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
$4.01 / $29.72 / $59.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.26 / $0.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.56 / $0.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.39
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.35