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Michigan 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
$0.99 / $4.65 / $63.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.97 / $1.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.11 / $1.67 / $3.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.01 / $1.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $1.80 / $2.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.01 / $2.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.32
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $1.44 / $63.14
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $1.16 / $2.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.02