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Wisconsin rates for HCPCS Q9961

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

Facilitymedian $0 · 10th–90th $0–$10%20%10th90th$0Professionalmedian $0 · 10th–90th $0–$830%50%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
$1.26 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.26 / $0.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $0.54 / $0.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.33 / $0.85
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.24 / $0.24 / $0.56
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.32 / $0.41
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.71
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $478.63
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.24 / $0.28 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.30 / $0.30 / $0.30
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.31 / $0.52
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.27 / $0.50 / $1.10
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.26 / $85.11 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.52 / $478.63
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.35 / $0.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $2.09 / $87.10