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Indiana 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
$0.97 / $3.74 / $140.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.92 / $3.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.80 / $2.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.02