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Minnesota rates for HCPCS Q9967

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

Facilitymedian $28 · 10th–90th $0–$6030%5%10th90th$28Professionalmedian $18 · 10th–90th $0–$1200%10%10th90th$18$0.0$0.2$2.0$20.0$200.0$2.0K

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
$7.59 / $125.89 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $32.36 / $125.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.14 / $0.28 / $0.28
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.12 / $0.15 / $0.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.27 / $0.50 / $0.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.19
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.39 / $0.48 / $0.56
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.16 / $1.26 / $4.79
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.35 / $1.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.14 / $0.14 / $0.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $87.10