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Oregon 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
$27.54 / $83.18 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $18.62 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.30 / $0.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.71 / $0.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.24 / $11.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.25 / $0.51
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.28 / $0.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.27 / $0.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.28 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.25