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Ohio 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
$1.25 / $4.28 / $90.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $2.25 / $6.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.08 / $1.87
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.17 / $3.17 / $3.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $1.80 / $2.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.12
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $7.79 / $19.73
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.20 / $2.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.96 / $1.19