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Rhode Island 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
$37.47 / $585.86 / $843.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.16 / $39.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $1.47