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Wyoming rates for HCPCS Q9965

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

Facilitymedian $85 · 10th–90th $2–$850%20%40%10th$85Professionalmedian $1 · 10th–90th $1–$10%50%10th90th$1$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
$28.84 / $85.11 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.79 / $0.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $4.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.62 / $2.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.93 / $1.51 / $2.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $1.05 / $1.05