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Alaska rates for HCPCS Q9967

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml

Facilitymedian $89 · 10th–90th $0–$8510%20%10th90th$89Professionalmedian $20 · 10th–90th $1–$740%10%10th90th$20$0.1$2.0$50.0$1.0K$20.0K$500.0K

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
$63.10 / $97.72 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $22.39 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.15
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.46 / $389.05
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $12.88 / $74.13
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.83
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.46 / $0.46
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.18 / $0.40
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.18 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.23 / $1.00