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Ohio rates for HCPCS Q9965

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

Facilitymedian $3 · 10th–90th $1$910%10%10th90th$3Professionalmedian $1 · 10th–90th $1$20%50%10th90th$1$0.5$2.0$10.0$50.0$200.0$1.0K$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
$1.26 / $3.47 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $6.17
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $1.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $2.51 / $7.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.41 / $2.19
Aultcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $3.39
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.95 / $0.95 / $1.38
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $0.95 / $1.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.45 / $3.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $1.32
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $1.70 / $10.47
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $1.45
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.20 / $1.58
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.51 / $2.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $1.12 / $2.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $1.05 / $1.66