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Illinois rates for HCPCS Q9965

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

Facilitymedian $5 · 10th–90th $1–$1120%10%10th90th$5Professionalmedian $1 · 10th–90th $1–$90%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
$1.05 / $5.01 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $16.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $5.75 / $20.42
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $1.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $2.14 / $2.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $1.15
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $2.29 / $3.16
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $1.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $1.51 / $1.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $1.05 / $1.70