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Kansas 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
$0.80 / $6.58 / $129.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.98 / $2.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.80 / $1.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.38 / $5.05 / $54.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.44
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 / $0.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $1.87 / $2.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $1.80 / $527.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.00