go back

New Jersey rates for HCPCS Q9967

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

Facilitymedian $195 · 10th–90th $10–$9330%5%10th90th$195Professionalmedian $17 · 10th–90th $0–$870%10%10th90th$17$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
$10.00 / $194.98 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $20.42 / $87.10
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $15.14 / $22.91
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.16 / $0.16 / $0.16
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.18 / $0.22
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.15
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.16 / $0.17 / $0.23
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $6,309.57 / $13,803.84
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.16
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.17 / $0.24 / $1.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.15 / $0.18