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Pennsylvania rates for HCPCS Q9963

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

Facilitymedian $51 · 10th–90th $7$3470%10%10th90th$51Professionalmedian $1 · 10th–90th $0$740%20%10th90th$1$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$7.41 / $51.29 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $32.36 / $125.89
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $0.78 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.78 / $0.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.78 / $0.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.22
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.24 / $0.24 / $0.24
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.22
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.38 / $0.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.49 / $0.65 / $2.69
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $0.62 / $0.62
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.40 / $0.60
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.17 / $0.24 / $0.52
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.21 / $0.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.56