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Arizona 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
$22.91 / $79.43 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $32.36 / $125.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.28 / $0.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.18 / $0.33
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.25 / $0.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.36 / $0.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22