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Alaska rates for HCPCS Q9965

Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml

Facilitymedian $1 · 10th–90th $1–$20%50%10th90th$1Professionalmedian $1 · 10th–90th $1–$30%50%90th$1$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$77.62 / $77.62 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $1.15
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $1.15 / $2.14
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.62 / $3.72
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.78 / $2.69
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.95 / $0.95
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $1.10 / $2.09
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.51 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.48 / $2.09