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Kansas 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
$9.44 / $87.89 / $742.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $1.43 / $38.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $20.00 / $28.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.38 / $5.05 / $54.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.24 / $0.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $1,506.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.22