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Georgia rates for HCPCS Q9963

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

Facilitymedian $72 · 10th–90th $0–$4170%5%10%10th90th$72Professionalmedian $0 · 10th–90th $0–$190%50%10th90th$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
$19.95 / $89.13 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $37.15 / $1,380.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $1.10 / $1.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.20 / $0.20 / $0.22
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.42
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.35
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.25 / $0.41 / $0.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.20 / $0.24 / $0.81
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.25 / $0.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.23 / $0.43 / $0.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.49