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Illinois rates for HCPCS Q9967

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

Facilitymedian $120 · 10th–90th $23–$7760%10%10th90th$120Professionalmedian $33 · 10th–90th $2–$1290%5%10th90th$33$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
$26.30 / $128.82 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $34.67 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.85 / $28.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $1.41 / $6.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.50 / $0.50 / $0.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.21 / $0.28 / $0.36
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 / $0.98 / $2.95
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.20 / $0.20 / $0.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.14 / $0.23 / $1.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.15 / $1.32