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Wisconsin rates for HCPCS Q9965

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

Facilitymedian $45 · 10th–90th $2$910%10%10th90th$45Professionalmedian $1 · 10th–90th $1$100%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
$7.59 / $47.86 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $19.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $1.74
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.95 / $1.35 / $1.82
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.07 / $1.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $3.24 / $5.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.32 / $4.27
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.95 / $0.98 / $1.78
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.35 / $1.91
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.82 / $10.72
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $524.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.82 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $1.45 / $1.95
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.26 / $2.51
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.58 / $3.31
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $85.11 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $2.19 / $524.81
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.58 / $1.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.93 / $0.93 / $2.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $1.05 / $1.58