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Pennsylvania rates for HCPCS Q9967

Locm 300-399mg/Ml Iodine,1ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.90 / $94.50 / $654.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $23.66 / $79.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $15.00 / $21.00
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.16 / $0.16
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $1.09 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.15 / $85.00
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 / $0.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $1.56 / $7.10
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.19 / $0.99
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.16 / $0.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $98.11 / $713.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $18.12 / $80.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.50 / $959.31 / $1,206.86
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.25 / $0.39
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.15 / $85.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.16
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.20
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.32