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

Illinois rates for HCPCS Q9965

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

Rates data updated July 2026.

Facilitymedian $2 · 10th–90th $1$320%10%10th90th$2Professionalmedian $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
$0.91
Median
$1.62
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.91
Median
$1.15
Typical High
$1.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$5.75
Typical High
$20.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.07
Typical High
$1.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$2.14
Typical High
$2.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.15
Typical High
$1.15
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$0.95
Median
$2.29
Typical High
$3.16
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$1.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$1.74
Typical High
$1.74
United
Setting
Facility
Modifier
Global
Typical Low
$0.79
Median
$1.91
Typical High
$1.91
United
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.35
Typical High
$2.04