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Iowa 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
$0.39 / $137.90 / $838.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $23.17 / $73.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.16 / $0.21
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $1.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.52 / $2.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $1.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.17 / $0.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.18 / $0.26
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.44 / $3,386.88 / $6,894.73
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.15 / $0.15