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Maryland rates for HCPCS Q9967

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

Facilitymedian $87 · 10th–90th $39–$2570%10%10th90th$87Professionalmedian $32 · 10th–90th $3–$1050%5%10th90th$32$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
$38.90 / $97.72 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $33.11 / $109.65
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.16
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
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
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.14 / $1.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.15 / $0.19
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.17