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Michigan rates for HCPCS Q9966

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

Facilitymedian $23 · 10th–90th $1–$3890%5%10%10th90th$23Professionalmedian $1 · 10th–90th $0–$620%10%20%10th90th$1$0.0$0.2$2.0$20.0$200.0

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
$1.26 / $38.90 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $1.74 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $42.66 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.47 / $0.72 / $1.58
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.40 / $0.42
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.45 / $0.59 / $0.72
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.45 / $0.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.33 / $0.43 / $0.45
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.38 / $30.20 / $389.05
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $0.54 / $22.39
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.33 / $0.33 / $0.43
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 / $0.87