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Arizona rates for HCPCS Q9961

High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml

Facilitymedian $0 · 10th–90th $0–$90%10%20%10th90th$0Professionalmedian $0 · 10th–90th $0–$10%50%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
$8.91 / $8.91 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $1.26 / $26.30
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.11 / $0.49 / $0.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.26 / $1.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.27 / $0.43 / $0.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.26 / $0.26
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.21 / $0.31 / $0.68
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $478.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.26 / $0.31 / $0.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.26 / $0.28