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Ohio 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
$0.34 / $15.22 / $75.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.51 / $1.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.24 / $0.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.31
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.37 / $3.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.31