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North Carolina 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
$20.96 / $82.36 / $990.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $20.27 / $80.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $18.00 / $38.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.31 / $0.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.23 / $0.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $0.28 / $0.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.20 / $0.47
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,442.77 / $1,576.31 / $5,339.93
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.24 / $0.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.20
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,506.04 / $1,506.04 / $1,506.04