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North Carolina 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
$9.33 / $109.65 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $25.70 / $74.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.52 / $0.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.25
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 / $0.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.27 / $0.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.39 / $0.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.36 / $0.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.28
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44