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Texas rates for HCPCS Q9954

Oral magnetic resonance contrast agent, per 100 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.68 / $37.49 / $40.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.43 / $10.68 / $11.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.43 / $10.43 / $39.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.43 / $10.43 / $10.43
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.10 / $12.43 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $7.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.78 / $429.78 / $429.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.32 / $12.57 / $22.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.99 / $10.99 / $10.99
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.90 / $12.15 / $19.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.32 / $12.57 / $19.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $7.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.57 / $12.57 / $12.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $14.42