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Massachusetts 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
$0.63 / $22.60 / $167.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $14.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $1.03 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.48 / $11,722.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.50 / $0.98
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $83.43 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.47
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $11,722.81
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.47 / $0.55
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.49 / $0.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.75