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Idaho rates for HCPCS Q9963

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

Facilitymedian $34 · 10th–90th $0–$650%10%10th90th$34Professionalmedian $0 · 10th–90th $0–$10%50%10th90th$0$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
$30.20 / $47.86 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $10.72 / $27.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.23 / $0.33 / $0.52
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $0.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.24 / $0.25 / $0.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.22
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.15 / $1.15
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.21 / $0.28 / $30.20
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.28 / $0.47
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.16 / $0.19 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.26 / $0.26
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.22