go back

Arizona rates for HCPCS Q9964

High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml

Facilitymedian $1 · 10th–90th $0–$30%20%10th90th$1Professionalmedian $0 · 10th–90th $0–$30%50%10th90th$0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $1.41
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $1.48 / $2.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.48 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.30 / $0.48 / $0.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $0.39 / $1.12
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.39 / $0.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.39 / $0.39 / $0.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.39 / $44.67