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

Montana 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$90%20%40%10th90th$1Professionalmedian $1 · 10th–90th $1$20%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
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$8.51
Typical High
$8.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.26
Typical High
$2.45
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.07
Median
$1.07
Typical High
$2.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.15
Typical High
$1.15
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1.02
Median
$1.07
Typical High
$2.69
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1.02
Median
$1.07
Typical High
$2.69
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.87
Median
$1.20
Typical High
$1.95
Providence
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.51
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.05
Typical High
$2.09