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Indiana 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 / $41.95 / $324.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.44 / $0.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.28
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 / $0.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.37