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Texas rates for HCPCS C9090

Injection, plasminogen, human-tvmh, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.80 / $29.52 / $29.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $29.52 / $29.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $159.00 / $159.00