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Alaska rates for HCPCS Q9963

High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $66.07 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.22 / $33.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.35 / $0.71
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.81 / $1.29
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.58 / $0.71 / $0.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.23 / $0.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.28 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.33 / $0.62