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California 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
$1.12 / $63.10 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $32.36 / $81.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.26 / $0.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.48
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.21 / $0.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.28
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.22 / $0.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.25 / $0.49
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.26 / $0.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.35
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.23 / $0.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.44