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Texas rates for HCPCS Q9964

High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml

Facilitymedian $1 · 10th–90th $0$20%20%10th90th$1Professionalmedian $0 · 10th–90th $0$10%20%40%10th90th$0$0.1$0.5$5.0$50.0$500.0$5.0K

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
$1.23 / $1.23 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $1.41
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.32 / $0.76 / $1.48
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.30 / $0.68 / $1.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
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
$1.78 / $1.78 / $1.78
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $0.39 / $0.69
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.33 / $1.41 / $1.41
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.38 / $0.60
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $0.39 / $0.66
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.26 / $0.39 / $0.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.39 / $44.67
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.36