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Missouri 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
$9.86 / $94.37 / $567.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $23.66 / $68.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $15.00 / $28.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.16 / $0.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.23 / $2.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $1,506.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.22