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Arkansas 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
$48.98 / $74.13 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.22 / $0.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.56