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New Jersey 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
$9.44 / $99.03 / $919.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $6.62 / $52.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $15.00 / $22.00
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $3.19 / $10.48
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.15 / $0.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.20 / $0.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.16 / $0.21
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.16 / $0.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.18