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Ohio rates for HCPCS Q9963

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

Facilitymedian $12 · 10th–90th $0–$1100%10%10th90th$12Professionalmedian $0 · 10th–90th $0–$00%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
$7.08 / $17.78 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $1,380.38 / $1,380.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.24 / $0.47 / $1.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.27 / $0.41
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.32
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.42 / $0.47 / $0.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.31
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.21 / $0.26 / $2.51
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.39
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.28 / $0.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.27 / $0.47 / $0.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.32