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Michigan rates for HCPCS Q9964

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

Facilitymedian $1 · 10th–90th $0–$10%10%20%10th90th$1Professionalmedian $0 · 10th–90th $0–$450%20%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
$1.15 / $1.41 / $1.41
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.36 / $0.56 / $1.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.31 / $0.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.40
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $0.39 / $1.12
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.43 / $0.59
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
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 / $31,622.78