Bracco Diagnostics

CYSTOGRAFIN - Cost

Updated as of: July 1st, 2024

HCPCS:

Q9958

HCPCS Code Descriptor:

High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml

Medicare Payment Limit:

The Cystografin Medicare Payment Limit is $0.072.

Average Sale Price:

CYSTOGRAFIN ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The Cystografin Medicare Co-Insurance percentage is 20%. Cystografin's Medicare Co-Insurance amount is $0.014

APC Code:

The Cystografin APC Code is: not available

APC Payment Limit:

The APC Payment Limit for CYSTOGRAFIN is not available.

Cystografin Cost Information:

CYSTOGRAFIN, HCPCS Q9958, became effective on July 1, 2005. CYSTOGRAFIN has four NDCs mapped to Q Code: Q9958 with potential errors found within a couple of these alignments. AWP and WAC have had no movement since 2017. Adversely, ASP has dropped by less than a couple percent.

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Cystografin’s wholesale acquisition cost (WAC) information was last updated on:
January 1, 2010
Cystografin’s average wholesale price (AWP) information was last updated on:
January 1, 2010

Cystografin Cost Graph: