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Oklahoma 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
$1.13 / $1.40 / $116.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.90 / $0.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $1.80 / $2.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $1.80 / $527.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.03