go back

Ohio 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
$0.82 / $38.47 / $331.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $1.51
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $41.00 / $45.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $1.05 / $2.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.49 / $0.84
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.17 / $3.17 / $3.17
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 / $0.61
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
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $2.62 / $15.58
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.51 / $0.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.63