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Indiana 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
$0.51 / $31.59 / $164.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $45.00 / $45.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.90 / $1.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.70