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Illinois 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
$23.44 / $158.49 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $18.62 / $74.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $1.41 / $6.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.31 / $0.83
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 / $0.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $1.07 / $1.45
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.36 / $0.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.25