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Idaho rates for HCPCS Q9967

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

Facilitymedian $89 · 10th–90th $1–$3890%20%10th90th$89Professionalmedian $20 · 10th–90th $0–$870%5%10th90th$20$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
$56.23 / $93.33 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $24.55 / $87.10
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.20 / $0.25 / $2.63
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.18 / $0.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.17 / $0.18 / $0.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.15
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.95 / $1.95
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $38.02 / $354.81
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.19 / $16.98 / $87.10
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.12 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.18 / $0.18
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.15 / $0.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.15 / $0.15