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Hawaii rates for HCPCS Q9967

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

Facilitymedian $389 · 10th–90th $17–$6030%20%10th90th$389Professionalmedian $19 · 10th–90th $3–$790%10%10th90th$19$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
$17.38 / $389.05 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $19.05 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.17
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.18 / $0.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.15 / $87.10