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

Louisiana 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$1320%20%10th90th$1Professionalmedian $1 · 10th–90th $1$10%50%10th90th$1$1.0$5.0$20.0$100.0

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
$1.15
Median
$7.76
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.15
Typical High
$1.38
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.02
Median
$1.02
Typical High
$1.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.02
Median
$1.02
Typical High
$1.02
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.29
Median
$2.29
Typical High
$3.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.15
Typical High
$1.15
United
Setting
Facility
Modifier
Global
Typical Low
$0.68
Median
$1.15
Typical High
$1.41
United
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.05
Typical High
$1.45