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Pennsylvania rates for HCPCS Q9954

Oral magnetic resonance contrast agent, per 100 ml

Facilitymedian $19 · 10th–90th $9–$910%20%10th90th$19Professionalmedian $10 · 10th–90th $10–$280%50%90th$10$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $25.12 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $15.14
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $7.94 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38,018.94 / $38,018.94 / $38,018.94
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $9.55 / $14.79
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $23.44 / $32.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $14.13 / $38,018.94