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Arizona rates for HCPCS Q9965

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

Facilitymedian $2 · 10th–90th $1–$720%10%10th90th$2Professionalmedian $1 · 10th–90th $1–$80%50%90th$1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$6.31 / $31.62 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $10.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.37 / $1.58 / $2.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.83 / $3.39
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.17 / $1.91 / $2.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $1.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.87 / $1.82 / $4.17
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $524.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $1.15 / $1.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $1.05 / $1.48