go back

Wisconsin rates for HCPCS Q9963

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

Facilitymedian $105 · 10th–90th $0–$2950%10%10th90th$105Professionalmedian $0 · 10th–90th $0–$870%20%40%10th90th$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
$12.88 / $123.03 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $45.71 / $1,380.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.34
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.31 / $0.42
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.24 / $0.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.46 / $0.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.28 / $0.65
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.58
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.24 / $0.26 / $0.40
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.23 / $0.72
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $575.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $50.12 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.37
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.18 / $0.23 / $0.49
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.43 / $1.10
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $85.11 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.49 / $575.44
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.30 / $0.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $2.09 / $87.10