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Georgia 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
$0.45 / $94.55 / $619.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.51 / $9.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $65.00 / $84.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.49 / $0.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.39 / $0.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $1.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.42 / $0.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.48 / $4.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.50 / $0.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $1.12 / $1.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.81