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Low Osmolar Contrast Material, Iodine 100-199 mg/mL

Iowa rates for HCPCS Q9965

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

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $1$170%20%40%10th90th$1Professionalmedian $1 · 10th–90th $1$20%20%40%10th90th$1$0.5$2.0$10.0$50.0$200.0

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
Setting
Facility
Modifier
Global
Typical Low
$0.79
Median
$0.79
Typical High
$16.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.79
Median
$1.15
Typical High
$2.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.15
Typical High
$1.48
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$0.95
Median
$1.74
Typical High
$2.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.87
Median
$2.00
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$1.82
Typical High
$524.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.58
Typical High
$2.14
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1.20
Median
$1.78
Typical High
$1.82
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.82
Typical High
$2.45
United
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$1.91
Typical High
$1.91
United
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.10
Typical High
$1.82
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.15
Typical High
$1.15