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Indiana rates for HCPCS Q9966

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

Facilitymedian $11 · 10th–90th $1–$1020%10%10th90th$11Professionalmedian $1 · 10th–90th $0–$300%20%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
$6.17 / $56.23 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $2.24 / $34.67
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $44.67 / $50.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.51 / $0.65 / $1.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $0.43 / $0.65
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.45 / $0.45 / $0.68
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.45 / $0.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.58 / $1.17 / $1.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.48
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