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Nebraska 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 / $0.39 / $89.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $37.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.25 / $186.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.25 / $0.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.26 / $0.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.37 / $2.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.26 / $0.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.26 / $0.47
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.33 / $0.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.22 / $0.67