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Texas rates for HCPCS Q9967

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml

Facilitymedian $186 · 10th–90th $20$9120%5%10%10th90th$186Professionalmedian $37 · 10th–90th $0$1910%5%10th90th$37$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
$44.67 / $239.88 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $43.65 / $204.17
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.14 / $20.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $0.81 / $1.58
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.15
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $186.21 / $691.83
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.16 / $0.27 / $0.49
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $85.11 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.38 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.15
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.15 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.98 / $1,513.56 / $1,513.56
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $63.10 / $776.25
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $52.48 / $229.09
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $1,862.09 / $2,454.71
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.30 / $0.32
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.17 / $0.43
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.14 / $0.23 / $1.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.15 / $0.16
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.19