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Hawaii 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
$17.46 / $382.69 / $594.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $12.75 / $39.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.17
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.21 / $0.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.18 / $0.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.17 / $0.23
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.17 / $0.23