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Montana 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
$1,312.14 / $1,312.14 / $1,312.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.26 / $0.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.25 / $0.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.23 / $0.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18