go back

North Dakota 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 / $38.47 / $93.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.23 / $0.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.23 / $0.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.34 / $0.46
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 / $0.25