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Kansas rates for HCPCS Q9965

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

Facilitymedian $5 · 10th–90th $1–$1290%5%10%10th90th$5Professionalmedian $1 · 10th–90th $1–$20%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
$1.07 / $28.84 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $5.01 / $5.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.17 / $1.86 / $4.27
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
$0.79 / $1.91 / $2.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $1.82 / $524.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $1.15 / $1.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.87 / $1.05 / $1.29