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Michigan rates for HCPCS Q9962

High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.38 / $0.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.19 / $0.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $70.00 / $70.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.28
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.25 / $0.63
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.20 / $0.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $75.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.22