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Georgia 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
$19.95 / $89.13 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $32.36 / $1,380.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.24 / $1.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.35
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.25 / $0.81
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.24 / $0.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.43 / $0.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.38