go back

South Dakota rates for HCPCS Q9967

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

Facilitymedian $214 · 10th–90th $3–$9330%5%10%10th90th$214Professionalmedian $25 · 10th–90th $1–$1510%10%10th90th$25$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
$3.47 / $218.78 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $27.54 / $162.18
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.14 / $0.14 / $0.15
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.12 / $0.15 / $0.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.19
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.24 / $1.82 / $8.32
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.12 / $0.15 / $0.17
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.18 / $0.19
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.13 / $0.13 / $0.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.16 / $0.16 / $0.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.15 / $0.17
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.15