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California 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
$1.95 / $42.66 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $6.61 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $44.67 / $53.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.50 / $0.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.45 / $0.85
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $0.93 / $0.93
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.35 / $0.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.42
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.48 / $0.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.44 / $0.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $11,748.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.43 / $0.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.51
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.52 / $0.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.78