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Massachusetts rates for HCPCS Q9963

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

Facilitymedian $0 · 10th–90th $0–$980%20%10th90th$0Professionalmedian $0 · 10th–90th $0–$370%50%90th$0$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$17.78 / $81.28 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $37.15 / $1,380.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.21 / $0.59 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.23 / $575.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.47 / $0.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.22
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.32 / $5,888.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.33
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.21 / $0.59 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.23 / $575.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.47 / $0.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.39