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Missouri 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
$0.84 / $1.46 / $118.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.98 / $2.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.63 / $2.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.92 / $1.87 / $4.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $1.80 / $527.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.96 / $1.11