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New York 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 / $7.67 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $20.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.45 / $0.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.42 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.63 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.49 / $0.49
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.47
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.47 / $0.47
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $4.95 / $6.47
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.42 / $85.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.45 / $0.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.70
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.47 / $0.47
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.47 / $0.47