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West Virginia rates for HCPCS Q9963

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

Facilitymedian $35 · 10th–90th $9–$890%10%10th90th$35Professionalmedian $1 · 10th–90th $0–$1,3800%20%40%10th90th$1$0.2$1.0$5.0$20.0$100.0$500.0

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
$9.55 / $36.31 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,380.38 / $1,380.38
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.33
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.42 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.95
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.27 / $0.71 / $16.22
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.36 / $0.36 / $0.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.68