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Ohio rates for HCPCS Q9958

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

Facilitymedian $35 · 10th–90th $0–$1000%5%10%10th90th$35Professionalmedian $0 · 10th–90th $0–$00%20%40%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
$19.95 / $51.29 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $56.23 / $162.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.17 / $0.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.09 / $0.15
Aultcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $3.39
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.08
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.11 / $0.11 / $0.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.14 / $0.16 / $0.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.10
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.07 / $0.16 / $0.95
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.07 / $0.07 / $0.10
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.07 / $0.08 / $0.11
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.10 / $0.16
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.13 / $0.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.07 / $0.07 / $0.11