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Texas rates for HCPCS Q9958

High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $72.23 / $318.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.33 / $80.64
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.07 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.14 / $360.14 / $360.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.12
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.09 / $0.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.11