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Maryland rates for HCPCS Q9963

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

Facilitymedian $68 · 10th–90th $1–$2340%20%10th90th$68Professionalmedian $1 · 10th–90th $0–$740%20%40%10th90th$1$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
$21.38 / $67.61 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $18.62 / $1,380.38
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.19 / $0.22 / $0.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.22 / $0.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.27
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.25