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Michigan 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
$0.46 / $28.19 / $589.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.46 / $7.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.85 / $1.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.45 / $0.61
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 / $0.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.45 / $0.47
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $23.17 / $247.80
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.46 / $2.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.45 / $0.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.54