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North Carolina rates for HCPCS Q9967

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

Facilitymedian $89 · 10th–90th $12–$9770%10%20%10th90th$89Professionalmedian $28 · 10th–90th $0–$830%5%10th90th$28$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
$18.62 / $91.20 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $30.20 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $37.15
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.34
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $0.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.17 / $0.23 / $0.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.18
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.30 / $0.30
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.20 / $0.42
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,584.89 / $2,951.21
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.16 / $0.27 / $0.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.23 / $1.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.15 / $0.20
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $1,513.56