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Pennsylvania rates for HCPCS Q9967

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

Facilitymedian $87 · 10th–90th $12–$7410%10%10th90th$87Professionalmedian $32 · 10th–90th $1–$890%5%10%10th90th$32$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
$14.45 / $89.13 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $33.88 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $22.91
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.16 / $0.16 / $0.16
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.93 / $1.10 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $1.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.52 / $0.56
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
$0.14 / $0.17 / $0.21
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.15
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.30 / $0.43
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.36 / $1.29 / $7.08
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.16 / $0.19 / $1.00
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.16 / $0.16 / $0.16
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $1.62 / $36.31
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $954.99 / $1,174.90
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.30 / $0.60
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $0.18 / $20.42
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.12 / $0.18 / $20.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.15 / $1.26