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South Carolina 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
$1.65 / $2.21 / $39.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.97 / $1.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $2.42 / $8.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.96 / $1.31
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 / $0.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $1.01 / $2.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96