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Texas rates for HCPCS Q9966

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

Facilitymedian $4 · 10th–90th $0–$3160%10%20%10th90th$4Professionalmedian $1 · 10th–90th $0–$950%20%40%10th90th$1$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$1.55 / $58.88 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $7.76 / $97.72
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $44.67 / $52.48
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.42 / $0.45 / $1.05
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.45 / $0.45
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $1.00 / $104.71
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.52 / $0.74
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $1.07 / $2.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
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
$1,230.27 / $1,230.27 / $11,748.98
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.36 / $0.44 / $58.88
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.44 / $1.35 / $95.50
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.31
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.50 / $0.50 / $1.91
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.36 / $0.41 / $0.78
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.41 / $0.68 / $0.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $0.40 / $0.43
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $0.40 / $0.50