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Maine rates for HCPCS Q9966

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

Facilitymedian $60 · 10th–90th $32–$2510%20%10th90th$60Professionalmedian $1 · 10th–90th $0–$980%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
$35.48 / $60.26 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $22.39 / $102.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.32 / $1.32 / $1.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.49 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Community Health Options
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.36 / $0.36 / $0.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.41 / $0.48