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Low Osmolar Contrast Material, Iodine 100-199 mg/mL

Texas rates for HCPCS Q9965

Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml

Rates data updated July 2026.

Facilitymedian $2 · 10th–90th $1$280%20%10th90th$2Professionalmedian $1 · 10th–90th $1$20%50%10th90th$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
Setting
Facility
Modifier
Global
Typical Low
$1.15
Median
$9.77
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.15
Typical High
$1.55
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$2.24
Typical High
$95.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.68
Median
$1.05
Typical High
$2.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.05
Typical High
$1.05
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$1.05
Median
$120.23
Typical High
$199.53
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.05
Typical High
$2.34
Christus
Setting
Facility
Modifier
Global
Typical Low
$1.05
Median
$1.05
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.15
Median
$2.88
Typical High
$7.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.15
Typical High
$1.15
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$0.87
Median
$1.07
Typical High
$2.19
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$0.95
Median
$1.17
Typical High
$1.91
Molina
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$0.72
Typical High
$0.81
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.82
Typical High
$2.45
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.91
Median
$1.07
Typical High
$2.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.15
Typical High
$1.45
United
Setting
Facility
Modifier
Global
Typical Low
$1.05
Median
$1.41
Typical High
$1.91
United
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.05
Typical High
$1.95
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.15
Typical High
$1.62