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Iowa 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 $18 · 10th–90th $0–$810%20%10th90th$18$0.1$0.5$2.0$10.0$50.0$200.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $37.15 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.23 / $0.28
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.79 / $1.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.40 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $575.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.25 / $0.26 / $0.28
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.25 / $0.28 / $0.48
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.24 / $0.40 / $0.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.36 / $0.36 / $0.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.28
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.22