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Arizona rates for HCPCS Q9958

High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml

Facilitymedian $0 · 10th–90th $0–$1020%10%10th90th$0Professionalmedian $0 · 10th–90th $0–$950%20%10th90th$0$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
$41.69 / $102.33 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $69.18 / $114.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.14 / $0.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.06 / $0.07 / $0.27
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.13 / $0.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.08
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.07 / $0.08 / $0.45
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.07 / $0.07 / $363.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.07 / $0.13 / $0.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.07 / $0.07 / $0.08