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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
$1.00 / $5.62 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $2.40 / $2.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.95 / $1.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $5.25 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.07 / $1.32
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $5.01 / $5.89
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.82 / $11.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.82 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.74