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Florida 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
$1.10 / $92.93 / $291.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.80 / $1.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.96 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.99
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $40.00 / $200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.80 / $1.80