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Wisconsin rates for HCPCS Q9960

High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml

Facilitymedian $0 · 10th–90th $0$850%10%20%10th90th$0Professionalmedian $0 · 10th–90th $0$10%20%40%10th90th$0$0.1$0.5$2.0$10.0$50.0$200.0

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
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.34 / $0.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.37 / $0.78 / $1.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.44 / $0.55
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.27 / $0.33
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.37 / $0.39
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.27 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.18 / $0.18 / $0.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.27 / $50.12 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.54 / $0.54 / $0.54
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $0.81
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $85.11 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $512.86
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.25 / $0.36 / $0.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.18 / $0.18 / $0.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.18 / $0.18 / $0.24