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Delaware 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
$11.40 / $46.74 / $107.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.52 / $5.52 / $5.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.96 / $1.44