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High Osmolar Contrast Material, Iodine 350-399 mg/mL

Washington, DC rates for HCPCS Q9963

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

Rates data updated July 2026.

Facilitymedian $0 · 10th–90th $0$1350%50%90th$0Professionalmedian $0 · 10th–90th $0$00%50%90th$0$0.2$1.0$5.0$20.0$100.0

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
Setting
Facility
Modifier
Global
Typical Low
$0.22
Median
$0.22
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.22
Median
$0.22
Typical High
$0.22
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$0.22
Median
$0.22
Typical High
$0.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.33
Median
$0.46
Typical High
$0.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.22
Median
$0.22
Typical High
$0.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$0.19
Median
$0.22
Typical High
$0.43
United
Setting
Professional
Modifier
Global
Typical Low
$0.22
Median
$0.22
Typical High
$0.37