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Oklahoma rates for HCPCS Q9967

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

Facilitymedian $224 · 10th–90th $35–$7240%10%10th90th$224Professionalmedian $17 · 10th–90th $0–$360%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
$52.48 / $234.42 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $19.95 / $36.31
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.13 / $0.15 / $0.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.38 / $0.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $0.38 / $3.31
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.15 / $1,513.56
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 / $0.15