go back

Connecticut 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
$1.31 / $9.46 / $84.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.00 / $2.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.08 / $1.60 / $2.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.01 / $1.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.96 / $1.01