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Iowa rates for HCPCS Q9967

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

Facilitymedian $148 · 10th–90th $7–$7410%5%10%10th90th$148Professionalmedian $37 · 10th–90th $4–$1100%5%10th90th$37$0.1$0.5$5.0$50.0$500.0$5.0K

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
$28.18 / $151.36 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $38.02 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.19
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $1.00 / $2.19
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.17 / $0.79 / $7.59
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.15 / $1,513.56
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.18 / $0.21
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.19 / $0.21 / $0.27
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $2,398.83 / $6,760.83
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.16 / $0.26 / $0.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $0.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.15 / $0.20
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.15