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Texas rates for HCPCS C9254

Injection, lacosamide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $152.19 / $682.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.30 / $0.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.27 / $0.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.27