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Massachusetts 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
$1.34 / $6.81 / $261.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $2.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $2.54 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $527.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.18 / $2.29
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 / $0.96
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.13 / $83.43 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.01
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.96 / $527.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.96 / $1.34