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

Utah 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$280%10%10th90th$1Professionalmedian $0 · 10th–90th $0$10%20%40%10th90th$0$0.2$1.0$5.0$20.0

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
$0.38
Median
$1.26
Typical High
$27.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.22
Median
$0.25
Typical High
$0.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.26
Median
$0.32
Typical High
$0.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.22
Median
$0.22
Typical High
$0.22
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$0.22
Median
$0.22
Typical High
$0.28
Select Health
Setting
Facility
Modifier
Global
Typical Low
$0.23
Median
$0.23
Typical High
$0.23
Select Health
Setting
Professional
Modifier
Global
Typical Low
$0.22
Median
$0.23
Typical High
$0.24
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$0.19
Median
$0.22
Typical High
$0.26
United
Setting
Professional
Modifier
Global
Typical Low
$0.22
Median
$0.22
Typical High
$0.22