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Virginia rates for HCPCS Q9967

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

Facilitymedian $98 · 10th–90th $9–$8510%5%10%10th90th$98Professionalmedian $32 · 10th–90th $0–$1260%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
$15.14 / $104.71 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $43.65 / $141.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.22
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.30 / $0.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.13 / $0.15 / $1.32
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.30 / $0.45
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.18 / $0.44
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.20 / $0.20 / $0.20
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.14 / $0.20 / $0.36
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.20 / $0.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $1.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.15 / $0.31