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Rhode Island 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
$34.59 / $34.59 / $34.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $1.80 / $1.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.96 / $0.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.96 / $0.96