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New Jersey 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
$5.89 / $16.22 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $37.15 / $74.13
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.25 / $0.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $9,332.54 / $13,803.84
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.36 / $0.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.26