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Arizona rates for HCPCS Q9967

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

Facilitymedian $71 · 10th–90th $0–$8910%5%10%10th90th$71Professionalmedian $40 · 10th–90th $3–$950%5%10%10th90th$40$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$13.18 / $77.62 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $40.74 / $97.72
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.14 / $16.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.06 / $0.21 / $0.41
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.13 / $0.21
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.25 / $0.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.20 / $2.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $1,513.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.23 / $1.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.15 / $0.15