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South Carolina rates for HCPCS Q9964

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

Facilitymedian $0 · 10th–90th $0–$10%50%10th90th$0Professionalmedian $0 · 10th–90th $0–$00%50%10th90th$0$0.5$5.0$50.0$500.0$5.0K

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
$1.20 / $1.32 / $1.32
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.41 / $1.41
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.36 / $0.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $0.51 / $0.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $0.37 / $0.56
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $54.95
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 / $0.59