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Michigan rates for HCPCS Q9967

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

Facilitymedian $62 · 10th–90th $10–$6030%5%10th90th$62Professionalmedian $35 · 10th–90th $1–$1290%5%10th90th$35$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
$9.55 / $63.10 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $38.02 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $15.14 / $25.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.16 / $0.26 / $0.56
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.15
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.20 / $0.24
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.12 / $0.15 / $0.18
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $72.44 / $588.84
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.16 / $20.89 / $123.03
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.12 / $0.12 / $0.18
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 / $1.48