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Oregon 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
$0.51 / $0.51 / $0.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.33 / $0.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.57 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.35 / $0.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.34 / $0.34
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.38 / $0.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.31 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.45