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Missouri rates for HCPCS Q9966

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

Facilitymedian $20 · 10th–90th $0–$6170%10%10th90th$20Professionalmedian $2 · 10th–90th $0–$300%20%10th90th$2$0.2$2.0$20.0$200.0$2.0K

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
$4.07 / $61.66 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $7.24 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.44 / $1.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.47 / $0.47 / $0.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.49 / $0.79 / $1.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.46
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.40 / $0.51 / $1.45
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.45 / $11,220.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.55 / $0.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.40 / $0.59