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New Hampshire rates for HCPCS Q9963

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

Facilitymedian $27 · 10th–90th $0–$4270%10%20%10th90th$27Professionalmedian $0 · 10th–90th $0–$00%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
$26.92 / $50.12 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $32.36 / $45.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.31 / $0.46 / $0.81
Anthem BCBS
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
$0.25 / $0.44 / $0.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $0.22 / $0.44