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Kentucky 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
$1.58 / $31.62 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $18.62 / $1,380.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.26 / $0.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.23 / $0.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.30