go back

Pennsylvania rates for HCPCS Q9964

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

Facilitymedian $1 · 10th–90th $0–$260%20%10th90th$1Professionalmedian $0 · 10th–90th $0–$31,6230%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
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $1.41
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.55 / $0.65 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $1.02 / $1.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38,018.94 / $38,018.94 / $38,018.94
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.19 / $0.19 / $0.28
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.43 / $0.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.44 / $38,018.94