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Low Osmolar Contrast Material, Iodine 100-199 mg/mL

Utah rates for HCPCS Q9965

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

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $0$30%20%10th90th$1Professionalmedian $1 · 10th–90th $1$20%20%40%10th90th$1$0.5$1.0$2.0$5.0$10.0$20.0$50.0

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
Setting
Facility
Modifier
Global
Typical Low
$0.25
Median
$0.42
Typical High
$2.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.29
Typical High
$2.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.10
Median
$1.38
Typical High
$2.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.15
Typical High
$1.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.20
Median
$1.35
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.15
Typical High
$1.55
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1.20
Median
$1.20
Typical High
$1.20
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.20
Typical High
$1.20
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.15
Typical High
$1.38
United
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.05
Typical High
$1.10