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New Hampshire 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 / $426.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.33 / $0.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
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 / $0.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.22 / $0.23
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.69 / $1.06