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Minnesota 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
$1.15 / $1.41 / $1.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.48 / $0.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.32 / $0.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $1.26 / $1.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.38 / $0.48
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $1.20 / $1.41
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.39 / $0.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.59