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Alaska rates for HCPCS Q9965

Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.23 / $77.23 / $166.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.78 / $1.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.80 / $4.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.78
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.28 / $1.82
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.88 / $0.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $1.60 / $2.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $1.50 / $1.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.44 / $1.94