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Missouri rates for HCPCS Q9967

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

Facilitymedian $93 · 10th–90th $16–$5130%10%20%10th90th$93Professionalmedian $29 · 10th–90th $0–$950%5%10%10th90th$29$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$27.54 / $95.50 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $32.36 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.16 / $0.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.17 / $0.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.17 / $0.28 / $0.46
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.17
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.31 / $2.34
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.15 / $1,513.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.19 / $0.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.15 / $0.22