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High Osmolar Contrast Material, Iodine 350-399 mg/mL

South Dakota rates for HCPCS Q9963

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

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $0$10%20%40%10th90th$1Professionalmedian $0 · 10th–90th $0$00%50%10th90th$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
Setting
Facility
Modifier
Global
Typical Low
$0.22
Median
$1.29
Typical High
$1.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.22
Median
$0.22
Typical High
$0.27
Avera
Setting
Facility
Modifier
Global
Typical Low
$0.23
Median
$0.23
Typical High
$0.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.23
Median
$0.23
Typical High
$0.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.22
Median
$0.37
Typical High
$0.58
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.22
Median
$0.22
Typical High
$575.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$0.26
Median
$0.26
Typical High
$0.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$0.22
Median
$0.22
Typical High
$0.22
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$0.24
Median
$0.24
Typical High
$0.24
United
Setting
Professional
Modifier
Global
Typical Low
$0.22
Median
$0.22
Typical High
$0.24
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$0.22
Median
$0.22
Typical High
$0.22