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

Washington rates for HCPCS Q9963

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

Rates data updated July 2026.

Facilitymedian $0 · 10th–90th $0$20%10%20%10th90th$0Professionalmedian $0 · 10th–90th $0$10%20%40%10th90th$0$0.1$0.5$2.0$10.0$50.0

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
$0.23
Median
$0.44
Typical High
$3.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.22
Median
$0.23
Typical High
$0.62
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$0.22
Median
$0.22
Typical High
$0.22
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$0.22
Median
$0.22
Typical High
$0.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.28
Median
$0.28
Typical High
$0.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.22
Median
$0.22
Typical High
$0.27
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$0.22
Median
$0.42
Typical High
$0.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$0.22
Median
$0.41
Typical High
$0.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$0.21
Median
$0.22
Typical High
$0.45
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.55
Median
$0.55
Typical High
$0.55
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.55
Median
$0.55
Typical High
$0.55
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$0.22
Median
$0.22
Typical High
$0.22
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$0.22
Median
$0.22
Typical High
$0.23
United
Setting
Facility
Modifier
Global
Typical Low
$0.22
Median
$0.52
Typical High
$0.68
United
Setting
Professional
Modifier
Global
Typical Low
$0.22
Median
$0.22
Typical High
$0.26
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$0.22
Median
$0.22
Typical High
$0.28