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Texas rates for HCPCS Q9966

Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $26.95 / $360.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $18.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.45 / $219.44
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.45 / $0.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.39 / $17.39 / $17.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.45 / $0.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.39 / $11,271.93 / $11,722.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.45 / $1.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.54 / $1.31
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.49 / $0.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.45 / $0.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.45 / $0.61