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Wisconsin rates for HCPCS Q9958

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

Facilitymedian $95 · 10th–90th $0–$1480%20%10th90th$95Professionalmedian $0 · 10th–90th $0–$830%20%10th90th$0$0.1$0.2$1.0$5.0$20.0$100.0

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
$60.26 / $97.72 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $40.74 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.15 / $0.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.09 / $0.24
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.33
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.12 / $0.26
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.07 / $0.08 / $0.71
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.07 / $0.07 / $363.08
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.07 / $32.36 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.08
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.06 / $0.07 / $0.20
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.07 / $0.37 / $1.10
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.07 / $85.11 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.07 / $0.14 / $363.08
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.11 / $0.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.07 / $60.26 / $87.10