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Utah 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
$3.41 / $111.00 / $577.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $1.18 / $16.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.54 / $0.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.54 / $0.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45