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Maryland 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
$21.38 / $67.61 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $18.62 / $74.13
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.22 / $0.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.22 / $0.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.28