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Maryland 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
$1.31 / $49.49 / $158.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $2.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.80 / $1.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.96 / $2.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $0.96 / $1.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.20 / $1.26