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Minnesota rates for HCPCS Q9965

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

Facilitymedian $2 · 10th–90th $1–$120%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$10%50%10th90th$1$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
$1.00 / $5.62 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.75
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.93 / $2.40 / $2.40
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $1.05 / $1.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $5.25 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.15 / $1.32
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $3.63 / $5.01
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $1.45
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.95 / $1.82 / $11.22
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $1.82 / $524.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.93 / $0.93 / $0.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.10 / $1.95