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Pennsylvania rates for HCPCS Q9965

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

Facilitymedian $25 · 10th–90th $1$2630%5%10th90th$25Professionalmedian $1 · 10th–90th $1$240%50%90th$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $25.70 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $41.69
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.51 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $2.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.15 / $4.07 / $4.27
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
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $1.15
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.82 / $3.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $4.68 / $27.54
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.15 / $1.62 / $2.75
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.86
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $1.70 / $2.04
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $1.41 / $1.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $1.41 / $1.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $1.12 / $1.95