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Utah rates for HCPCS Q9966

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

Facilitymedian $95 · 10th–90th $3–$2400%10%10th90th$95Professionalmedian $3 · 10th–90th $0–$950%10%10th90th$3$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
$10.23 / $95.50 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $3.80 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.47 / $0.56 / $0.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.56
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.40 / $0.47
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.43 / $0.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $0.40 / $0.40