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Massachusetts 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
$8.56 / $83.63 / $379.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $35.00 / $81.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.37 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.16 / $1,506.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $0.18 / $0.33
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 / $0.15
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $1,909.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.16
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.80 / $11.80 / $47.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $1,506.04
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.16 / $0.19
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.17 / $0.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $1.25