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Illinois rates for HCPCS Q9966

Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml

Facilitymedian $43 · 10th–90th $5–$3550%5%10%10th90th$43Professionalmedian $2 · 10th–90th $0–$760%10%10th90th$2$0.1$0.5$5.0$50.0$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
$6.03 / $45.71 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $4.79 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $42.66 / $75.86
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $1.41 / $6.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.50 / $0.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.60 / $0.79 / $1.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $1.00 / $3.31
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $0.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.41 / $0.68 / $0.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $0.40 / $0.79