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New Jersey rates for HCPCS Q9965

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

Facilitymedian $28 · 10th–90th $1–$8910%5%10%10th90th$28Professionalmedian $1 · 10th–90th $1–$30%50%90th$1$0.5$5.0$50.0$500.0$5.0K

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
$2.04 / $30.20 / $891.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.32 / $1.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $1.15
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $1.26
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $6,309.57 / $13,803.84
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.98 / $0.98 / $1.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $1.62 / $1.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.26 / $1.95