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Massachusetts rates for HCPCS Q9965

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

Facilitymedian $3 · 10th–90th $1–$790%10%20%10th90th$3Professionalmedian $1 · 10th–90th $1–$230%50%10th90th$1$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$1.48 / $6.76 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $41.69
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $2.57 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.15 / $524.81
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $2.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $2.45 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $1.15
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.15 / $1.70 / $5,888.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $1.23
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $2.57 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.15 / $524.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $0.93 / $2.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $1.15 / $1.74