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Texas rates for HCPCS 90284

Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.85 / $17.85 / $21.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.17 / $17.85 / $17.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.22 / $10.22 / $10.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $214.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.52 / $17.85 / $25.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.18 / $16.64 / $25.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.55 / $18.07 / $23.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.60 / $14.60 / $19.71