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South Carolina 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
$0.33 / $0.33 / $1.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.33 / $0.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.43
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.37 / $0.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $55.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.39