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Virginia rates for HCPCS Q9963

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

Facilitymedian $15 · 10th–90th $0–$1740%5%10%10th90th$15Professionalmedian $0 · 10th–90th $0–$10%50%90th$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
$6.92 / $31.62 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $32.36 / $1,380.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.33
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.31 / $0.42 / $0.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.19 / $0.22 / $0.41
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.41 / $0.41
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.25 / $0.59
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.21 / $0.28 / $0.65
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $0.28 / $0.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.36 / $0.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.28