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Idaho 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
$28.25 / $81.90 / $347.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.19 / $50.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $1.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $0.22 / $1.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.18 / $0.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.13 / $0.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.18 / $0.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.24