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Texas rates for HCPCS Q9967

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $109.77 / $859.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $7.86 / $72.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $15.00 / $23.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.81 / $1.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.34 / $320.61
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.19 / $0.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.24 / $85.24 / $85.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,506.04 / $1,506.04 / $1,506.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.16 / $4.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.19 / $1.68
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.80 / $919.61 / $2,207.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.17 / $0.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.20