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Pennsylvania 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
$7.41 / $51.29 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $25.70 / $125.89
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.78 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.24 / $0.24
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.38 / $0.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.65 / $2.24
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $51.29 / $363.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $23.44 / $81.28
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.40 / $0.60
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.25 / $0.52
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.24 / $0.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.56