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West Virginia rates for HCPCS Q9967

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

Facilitymedian $93 · 10th–90th $19–$8510%5%10%10th90th$93Professionalmedian $59 · 10th–90th $0–$8130%10%10th90th$59$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
$19.95 / $93.33 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $60.26 / $812.83
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.23
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.35
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.30 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $1.32 / $27.54
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.18 / $0.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.25 / $0.25 / $0.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $1.48