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Arkansas rates for HCPCS Q9966

Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $67.88 / $697.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.52 / $95.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $41.00 / $45.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.48 / $0.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.50 / $0.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.45 / $0.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.75