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Hawaii 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
$4.08 / $14.12 / $261.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.06 / $1.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.44
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.83 / $1.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.14 / $1.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.96 / $1.44
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $1.49 / $1.80