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Texas rates for HCPCS Q9965

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

Facilitymedian $2 · 10th–90th $1$4900%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1$10%50%90th$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
$1.32 / $131.83 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.15
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $1.05 / $2.63
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $1.05
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.95 / $70.79 / $151.36
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $0.95 / $2.14
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.15 / $2.88 / $7.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $1.15
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
$524.81 / $524.81 / $524.81
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.93 / $1.10 / $3.09
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.58
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.72
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.82 / $2.04
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $1.07 / $2.19
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $1.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $1.51 / $1.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $1.05 / $1.48
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $1.29