go back

Alaska rates for HCPCS Q9967

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.09 / $98.00 / $871.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $8.85 / $84.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.36 / $3.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.48
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.53 / $0.84
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.42 / $0.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.28 / $0.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.18 / $0.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.23 / $0.30