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Minnesota 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 / $4.00 / $160.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $1.19 / $2.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.75 / $1.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $5.01 / $6.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $0.98 / $1.76
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $4.44 / $5.50
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.80 / $7.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.80 / $4.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.74