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Ohio 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
$7.79 / $57.53 / $832.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.21 / $29.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $15.00 / $22.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.35 / $0.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.16 / $0.28
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.17 / $3.17 / $3.17
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.22
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.86 / $4.07
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.17 / $0.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.22