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Oregon 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 / $4.08 / $81.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.97 / $2.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.71 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $4.09 / $4.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $1.04 / $1.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.02 / $1.27
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $1.80 / $3.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $1.04 / $2.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.34 / $1.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.10