go back

Arizona rates for HCPCS Q9964

High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.33 / $0.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $1.37 / $2.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.41 / $0.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.47 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.39