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New York 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
$9.33 / $64.57 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $33.88 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.14 / $28.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.14 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.18
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.20 / $0.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.17 / $0.21
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.16
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.16 / $0.16
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.23 / $1.48
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.17 / $0.21
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $50,118.72 / $53,703.18
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.04 / $0.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.23
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.18
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.16 / $0.16