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Washington 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 / $0.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.26 / $0.27
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.45 / $90.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.22
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $75.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.20