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Iowa 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
$0.36 / $26.05 / $147.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.47 / $0.53
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.45 / $3.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.53 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.49 / $0.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.49 / $0.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.72 / $0.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.45 / $0.45