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Texas rates for HCPCS C9293

Injection Glucarpidase 10 Units(Voraxaze)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.04 / $425.42 / $948.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.04 / $425.42 / $465.92
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.98 / $440.98 / $440.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.39 / $1,644.30 / $1,731.60
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,754.69 / $1,877.54 / $2,223.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.04 / $430.60 / $1,178.05
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $27.40 / $27.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.04 / $439.21 / $1,042.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.74 / $411.74 / $576.44