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Illinois 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
$26.30 / $128.82 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $35.48 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $15.14 / $22.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $1.41 / $6.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
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 / $0.19
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.98 / $3.09
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.23 / $1.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.17