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North Dakota 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 / $42.75 / $199.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.05 / $1.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.96 / $1.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $1.98 / $3.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.80 / $527.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.20