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Arizona rates for HCPCS Q9963

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

Facilitymedian $0 · 10th–90th $0–$1000%10%10th90th$0Professionalmedian $0 · 10th–90th $0–$810%20%40%90th$0$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$22.91 / $79.43 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $32.36 / $125.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.37 / $0.71
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.20 / $0.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.23 / $0.36 / $0.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.22
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.24 / $0.51
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $575.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.36 / $0.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.22