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New York rates for HCPCS Q9967

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

Facilitymedian $62 · 10th–90th $9–$6920%10%10th90th$62Professionalmedian $23 · 10th–90th $0–$870%10%10th90th$23$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
$9.33 / $64.57 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $26.92 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.13 / $0.21 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.19
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.20 / $0.54
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.17 / $0.21
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.16
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.16 / $0.16
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.17 / $0.31 / $1.74
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.17 / $0.21
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $50,118.72 / $53,703.18
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.04 / $0.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.15 / $1.05
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.18
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.16 / $0.16