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Georgia 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 / $1.24 / $381.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.05 / $39.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $1.04 / $1.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.08 / $1.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $2.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.62 / $3.15
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.29 / $1.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.96 / $1.05