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Arkansas 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
$1.13 / $73.42 / $82.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.04 / $1.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $1.96 / $1.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.96 / $1.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $1.34 / $1.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.96 / $0.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.96 / $0.99