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South Carolina 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
$13.49 / $58.88 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $10.72 / $1,380.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.50 / $0.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.22 / $0.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.28 / $0.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.24