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Alaska rates for HCPCS Q9963

High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml

Facilitymedian $0 · 10th–90th $0–$330%20%40%10th90th$0Professionalmedian $0 · 10th–90th $0–$10%20%10th90th$0$0.1$2.0$50.0$1.0K$20.0K$500.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $66.07 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.22
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $10.00
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.37 / $0.71
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $1.29
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.58 / $0.71 / $0.71
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.23 / $0.68
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.28 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.33 / $1.45