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Utah rates for HCPCS Q9963

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

Facilitymedian $38 · 10th–90th $30–$1260%10%10th90th$38Professionalmedian $18 · 10th–90th $0–$740%20%10th90th$18$0.2$1.0$5.0$20.0$100.0

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
$29.51 / $38.02 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $32.36 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.26 / $0.32 / $0.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.22
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.28
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.23 / $0.65
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.19 / $0.22 / $0.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.22