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Wisconsin rates for HCPCS Q9962

High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml

Facilitymedian $0 · 10th–90th $0–$10%20%10th90th$0Professionalmedian $0 · 10th–90th $0–$20%50%90th$0$0.1$1.0$10.0$100.0$1.0K$10.0K

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 / $3.02 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.18 / $0.18 / $0.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.24 / $0.56 / $1.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.18 / $0.43 / $0.49
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.25 / $0.25 / $0.32
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $3.24 / $4.47
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.25 / $0.26 / $0.45
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
$0.18 / $50.12 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.18 / $0.18 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.18 / $0.18 / $0.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.18 / $0.18 / $0.38