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Vermont rates for HCPCS Q9965

Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.06 / $1.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.76
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.06 / $1.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.96 / $2.88