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Colorado 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
$0.96 / $29.12 / $184.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.73 / $3.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.90 / $1.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $1.34 / $1.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96