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Texas rates for HCPCS Q9963

High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml

Facilitymedian $51 · 10th–90th $0–$4900%10%10th90th$51Professionalmedian $0 · 10th–90th $0–$460%20%40%10th90th$0$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$33.88 / $100.00 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $32.36 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.21 / $0.25 / $0.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.25 / $0.25 / $0.25
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.50 / $478.63
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $117.49 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.55 / $1.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.22
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.28 / $75.86
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.36 / $37.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.16
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.40 / $0.46
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.24 / $0.60
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.36 / $0.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.23
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.28