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Arkansas rates for HCPCS Q9965

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

Facilitymedian $1 · 10th–90th $1–$760%50%10th90th$1Professionalmedian $1 · 10th–90th $1–$10%50%90th$1$1.0$5.0$20.0$100.0$500.0

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
$1.00 / $1.23 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.10
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.12
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.95 / $1.07 / $1.55
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $0.95 / $2.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.15 / $1.55 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $1.20
Qualchoice
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.32 / $1.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.89 / $1.05 / $1.38