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Texas rates for HCPCS Q9960

High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.49 / $0.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.30 / $0.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $48.00 / $48.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
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
$518.70 / $518.70 / $518.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.27 / $0.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.14
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.70 / $0.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.27 / $0.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.16 / $0.22