go back

Indiana rates for HCPCS Q9963

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

Facilitymedian $0 · 10th–90th $0–$1200%20%10th90th$0Professionalmedian $0 · 10th–90th $0–$300%50%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
$8.71 / $40.74 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $45.71 / $1,380.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.26 / $0.33 / $0.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.35
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.34
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.31 / $0.62 / $0.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.26
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 / $0.44