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West 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
$1.26 / $16.55 / $16.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $1.44 / $2.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $2.22 / $2.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $3.56
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.05 / $8.05 / $8.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.96 / $1.39