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New York 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 / $3.51 / $130.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $2.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $2.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.90 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.12
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.35 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.04 / $1.04
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.00 / $1.00
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $1.80 / $5.29
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.06 / $2.04
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.90 / $85.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.96 / $1.35
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $1.00 / $1.00
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.00 / $1.00