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Louisiana 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 / $3.82 / $186.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.97 / $1.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.83 / $2.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.96 / $1.29