Bracco Diagnostics

ISOVUE-200 - Cost

Last Updated: April 1st, 2024



HCPCS Code Descriptor:

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

Medicare Payment Limit:

The ISOVUE-200 Medicare Payment Limit is $0.388

Average Sale Price:

ISOVUE-200 ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The ISOVUE-200 Medicare Co-insurance percentage is 20%. ISOVUE-200's Medicare Co-insurance amount is $0.08 per HCPCS unit.

APC Code:

The is:ovue-200 APC Code is: not available

APC Payment Limit:

The APC Payment Limit for ISOVUE-200 is not available.

Isovue-200 Cost Information:

ISOVUE-200, became effective on January 1, 2008 and is aligned to Q Code: Q9966. There are 26 NDCs mapped to Q9966 with multiple potential discrepancies found amongst these alignments. Since 2020, AWP and WAC have experienced no changes while ASP increased by almost 25%.


Isovue-200’s wholesale acquisition cost (WAC) information was last updated on:
March 5, 2024
Isovue-200’s average wholesale price (AWP) information was last updated on:
March 5, 2024

Isovue-200 Cost Graph: