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New Hampshire rates for HCPCS Q9958

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

Facilitymedian $20 · 10th–90th $0$1350%10%10th90th$20Professionalmedian $0 · 10th–90th $0$00%50%90th$0$0.1$0.5$2.0$10.0$50.0

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
$5.75 / $33.88 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.11 / $0.17 / $0.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.07 / $0.08 / $0.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.16 / $0.22
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.07 / $0.08 / $0.11