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West Virginia 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
$9.74 / $59.05 / $927.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.16 / $818.84
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 / $0.35 / $0.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.53
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $1.34 / $15.16
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $1.47