go back

Missouri rates for HCPCS Q9963

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

Facilitymedian $37 · 10th–90th $0–$1820%5%10%10th90th$37Professionalmedian $0 · 10th–90th $0–$740%50%10th90th$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
$9.55 / $52.48 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $54.95 / $1,380.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.24 / $0.37 / $0.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.28
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.24 / $0.24 / $0.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.25 / $0.41 / $0.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.26
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.30 / $0.71
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $575.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.28 / $0.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.32