go back

New Jersey 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
$0.95 / $3.55 / $76.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.80 / $1.80
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.85 / $183.85 / $183.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.75 / $2.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.04 / $1.04
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.68 / $1.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.96 / $1.01