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Idaho 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
$1.80 / $77.03 / $901.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.06 / $1.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.96 / $0.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.01
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.83 / $2.83 / $2.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $1.20 / $1.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.02 / $1.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.08 / $1.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.14 / $1.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.34