go back

Virginia 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
$1.01 / $9.00 / $205.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.80 / $2.58
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.96 / $2.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $1.02 / $2.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.29
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.98 / $1.44
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.98 / $1.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.96 / $1.01