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Arizona 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
$1.33 / $2.74 / $88.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $2.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.80 / $1.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $1.46 / $2.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.70 / $0.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.96 / $0.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $1.80 / $5.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.80 / $527.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96