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Missouri 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 / $9.59 / $165.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.49 / $20.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $90.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.47 / $1.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.56
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.50 / $1.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.45 / $11,271.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.65