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Alabama 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
$16.60 / $37.15 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.22 / $0.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.22 / $0.42