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Louisiana rates for HCPCS Q9963

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

Facilitymedian $47 · 10th–90th $0–$3890%20%10th90th$47Professionalmedian $0 · 10th–90th $0–$300%50%90th$0$0.2$1.0$5.0$20.0$100.0$500.0

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
$23.44 / $186.21 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $32.36 / $45.71
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.24 / $0.24 / $0.24
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.24 / $0.24 / $0.24
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $117.49 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.25 / $0.44 / $0.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.22
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.27 / $0.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.33