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

Washington rates for HCPCS Q9965

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

Rates data updated July 2026.

Facilitymedian $2 · 10th–90th $1$150%20%10th90th$2Professionalmedian $1 · 10th–90th $1$20%20%40%10th90th$1$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
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$2.29
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.26
Typical High
$2.40
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$1.26
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1.15
Median
$1.15
Typical High
$1.15
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.15
Typical High
$1.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$1.51
Typical High
$2.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.15
Typical High
$1.32
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$1.15
Median
$1.45
Typical High
$2.45
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.35
Typical High
$2.45
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.10
Median
$32.36
Typical High
$70.79
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$0.95
Median
$0.95
Typical High
$2.00
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.76
Median
$0.76
Typical High
$0.76
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$0.76
Typical High
$0.76
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1.15
Median
$1.15
Typical High
$1.15
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.15
Typical High
$1.20
United
Setting
Facility
Modifier
Global
Typical Low
$0.79
Median
$1.05
Typical High
$2.45
United
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.05
Typical High
$1.95
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.15
Typical High
$1.51