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North Carolina 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
$5.36 / $65.73 / $903.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.55 / $10.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $2.33 / $2.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $0.96 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $1.09 / $2.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $2.00 / $2.98
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.53 / $1.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.25
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.24 / $527.24 / $527.24