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Kentucky 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 / $1.37 / $851.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $2.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.08 / $1.12 / $1.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $1.34 / $2.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.01 / $1.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $2.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.93 / $1.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.03