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Montana rates for HCPCS Q9966

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

Facilitymedian $1 · 10th–90th $0–$3020%20%10th90th$1Professionalmedian $8 · 10th–90th $0–$1020%10%10th90th$8$0.1$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$0.09 / $54.95 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $10.00 / $120.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $77,624.71 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.44 / $0.44 / $0.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.44
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $0.41 / $0.72
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.41 / $0.72
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.40 / $0.46 / $0.78
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.51 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $0.40 / $0.41