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Idaho 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
$30.20 / $47.86 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $10.72 / $27.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.33 / $0.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.56 / $0.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.22 / $0.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.15 / $1.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.28 / $33.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.28 / $0.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.19 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.27
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.31