go back

Montana rates for HCPCS Q9967

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

Facilitymedian $93 · 10th–90th $0–$7940%5%10%10th90th$93Professionalmedian $29 · 10th–90th $3–$850%5%10%10th90th$29$0.1$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$54.95 / $162.18 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $29.51 / $85.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.48 / $2.45 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.16 / $0.16 / $0.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.16
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.23
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.23
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.20 / $0.62
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.18 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.15