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See a sample rate comparisonHCPCS Q9951 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Low osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml
| Key Fact | Detail |
|---|---|
| Service Type | Temporary Codes Contrast Agents/Diagnostic Imaging |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for Q9951 |
National average reimbursement for HCPCS Q9951 by major payers:
$0.31
$0.53
$0.96
$0.47
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HCPCS Q9951
5 of 25 sample ratesHigher to lower in this preview
Bacon County Health Services, Inc.
Bacon County Health Services Inc
$0.56Published rateIndigo Dillard
Attigo Infusion Inc
$0.56Published rateTift Regional Health System Inc., Tift Regional Medical Center
Tift Regional Health System Inc
$0.56Published rateJulio Beras-Matos
Arthritis Associates, P.A.
$0.56Published rateCharlott Barron
Attigo Infusion Inc
$0.52Published rate
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See a sample payer proposalHCPCS Q9951 vs. Other Contrast Agents/Diagnostic Imaging Codes
The HCPCS Q9951 code is part of the Temporary Codes services used for Contrast Agents/Diagnostic Imaging. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS Q9951 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| Q9950-HCPCS | Low | Injection, sulfur hexafluoride lipid microspheres, per ml |
| Q9951-HCPCS | Low | Low osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml |
| Q9953-HCPCS | Low | Injection, iron-based magnetic resonance contrast agent, per ml |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS Q9951. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q9951 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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