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Hawaii 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
$31.68 / $258.08 / $258.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.26
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.34 / $0.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.26 / $0.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.26 / $0.33
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.26 / $0.34