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New York 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 / $17.14 / $91.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.22 / $0.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.20 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.25
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.30 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.23 / $0.23
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.20 / $85.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.22 / $0.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.34
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.22 / $0.22
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22