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Pennsylvania 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
$0.26 / $0.26 / $0.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.26 / $0.26
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.20 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.18 / $70.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,249.62 / $38,249.62 / $38,249.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.37
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.26 / $0.31
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.07 / $1.65
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.18 / $70.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.20
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.23