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Virginia 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
$6.92 / $31.62 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $32.36 / $74.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.33
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.22 / $0.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.25 / $0.58
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.28 / $0.65
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.28 / $0.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.36 / $0.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.28