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Kentucky 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
$13.52 / $149.88 / $767.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $14.30 / $67.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $15.00 / $21.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.18 / $0.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.15 / $0.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.17 / $0.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.16 / $0.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.16