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

Maryland rates for HCPCS Q9965

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

Rates data updated July 2026.

Facilitymedian $52 · 10th–90th $1$600%20%40%10th90th$52Professionalmedian $1 · 10th–90th $1$20%50%10th90th$1$0.5$1.0$2.0$5.0$10.0$20.0$50.0

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
$0.63
Median
$52.48
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.15
Typical High
$2.14
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.15
Typical High
$1.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.15
Typical High
$1.20
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$0.98
Median
$1.15
Typical High
$1.26
United
Setting
Facility
Modifier
Global
Typical Low
$0.72
Median
$0.79
Typical High
$1.15
United
Setting
Professional
Modifier
Global
Typical Low
$1.02
Median
$1.05
Typical High
$1.70
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.05
Typical High
$1.32