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Missouri 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 / $8.86 / $159.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $18.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.37 / $0.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.22 / $0.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.30 / $0.81
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 / $0.32