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Arkansas 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
$9.11 / $96.30 / $771.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.19 / $42.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $15.00 / $19.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $0.16 / $0.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.16 / $0.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.20 / $0.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.15 / $0.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.16
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.10 / $19.55 / $21.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $1.25