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Connecticut 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
$9.60 / $84.15 / $306.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $35.00 / $79.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.25 / $0.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.16 / $0.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.17