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North Carolina 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
$1.53 / $42.07 / $713.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.72 / $34.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $38.00 / $38.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.70 / $0.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.23 / $0.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.45 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.46 / $0.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $1.00 / $1.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.66 / $0.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.68 / $0.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.59
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.39 / $1,242.39 / $11,722.81