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Washington, DC rates for HCPCS Q9967

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

Facilitymedian $95 · 10th–90th $56–$9770%20%10th90th$95Professionalmedian $19 · 10th–90th $0–$810%5%10th90th$19$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
$61.66 / $95.50 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $19.05 / $81.28
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.39
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.23 / $0.33 / $0.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.13 / $0.15 / $1.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.15 / $0.25