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Minnesota 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 / $0.22 / $38.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.44 / $1.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.21 / $0.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.72 / $0.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.23 / $0.28
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.63 / $0.82
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $575.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.40