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Nebraska rates for HCPCS Q9967

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

Facilitymedian $83 · 10th–90th $1$8320%5%10th90th$83Professionalmedian $27 · 10th–90th $3$720%5%10%10th90th$27$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
$25.70 / $97.72 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $26.92 / $72.44
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $30.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.13 / $0.16 / $186.21
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.17 / $0.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $0.12 / $0.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.18 / $0.22
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.23 / $1.07 / $10.72
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.15 / $1.35
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.16 / $0.17 / $0.22
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.18 / $0.20 / $0.38
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $1,949.84 / $2,290.87
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.16 / $0.26 / $0.33
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 / $1.35