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Connecticut 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
$0.22 / $34.61 / $105.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $81.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.37 / $0.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.23 / $0.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.22 / $0.23