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Washington 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
$0.50 / $0.90 / $378.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.50 / $16.55
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $85.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.45 / $11,271.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.42 / $0.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.55
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.50 / $0.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.49 / $0.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $75.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.56 / $1.35
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.34
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.45 / $0.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.50