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New York rates for HCPCS Q9964

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.33 / $0.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.33 / $0.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.28 / $0.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.31 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.34
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $38,249.62
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.33
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $85.00 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.28 / $0.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.53
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.33
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.33