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Arizona 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
$0.91 / $2.20 / $91.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.48 / $20.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $0.63 / $1.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.30 / $0.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.45 / $0.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.51 / $1.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $11,271.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45