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New Hampshire 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
$1.80 / $13.70 / $64.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $2.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.14 / $1.44 / $1.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.96 / $0.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.96 / $0.96
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.94 / $3,000.00