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Maryland 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
$7.33 / $80.59 / $160.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $23.17 / $74.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.15 / $1.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.17