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New Hampshire rates for HCPCS Q9965

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

Facilitymedian $2 · 10th–90th $1–$140%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$10%20%40%10th90th$1$1.0$2.0$5.0$10.0$20.0$50.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $1.26 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.05
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $2.45 / $4.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.15 / $1.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $2.29 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $1.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $1.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.87 / $1.12 / $1.78