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Nebraska rates for HCPCS Q9963

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

Facilitymedian $18 · 10th–90th $0–$1450%10%10th90th$18Professionalmedian $18 · 10th–90th $0–$740%20%10th90th$18$0.1$0.5$2.0$10.0$50.0$200.0

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
$8.51 / $43.65 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.62 / $74.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.21 / $0.25 / $223.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.24 / $0.24 / $0.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.25 / $0.34
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.37 / $2.34
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $1.00
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.25 / $0.26 / $0.33
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.20 / $0.25 / $0.54
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.24 / $0.40 / $0.48
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
$0.21 / $0.22 / $0.68