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South Dakota rates for HCPCS Q9965

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

Facilitymedian $35 · 10th–90th $1–$2000%10%20%10th90th$35Professionalmedian $1 · 10th–90th $1–$10%50%10th90th$1$0.2$1.0$5.0$20.0$100.0$500.0

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
$1.00 / $34.67 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.05
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.95 / $0.95 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.12 / $1.32
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $3.02 / $3.16
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.82 / $2.00
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.58 / $2.14
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $1.58
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.05 / $1.05