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West 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
$9.55 / $36.31 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
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 / $0.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.95
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.71 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.68