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Wisconsin rates for HCPCS Q9954

Oral magnetic resonance contrast agent, per 100 ml

Facilitymedian $11 · 10th–90th $10$850%20%40%10th90th$11Professionalmedian $10 · 10th–90th $10$160%50%90th$10$0.1$1.0$10.0$100.0$1.0K$10.0K

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 / $10.00 / $10.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $15.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $11.75 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $33.88 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $13.49 / $15.14
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.72 / $12.59
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $19.05
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.72 / $25.70
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $16.22
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $33.11 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $426.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $26.30