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Wyoming 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
$1.80 / $85.86 / $88.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.04 / $1.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.80 / $0.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.36 / $2.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96