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Iowa rates for HCPCS Q9965

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

Facilitymedian $2 · 10th–90th $1–$1480%10%10th90th$2Professionalmedian $1 · 10th–90th $1–$60%50%90th$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $2.04 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $6.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.15 / $1.32
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.74 / $2.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.87 / $2.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.82 / $524.81
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.78 / $2.14
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $1.23 / $1.78
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.82 / $2.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $1.05 / $1.45
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.05 / $1.05