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Texas rates for HCPCS J0132

Injection, acetylcysteine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $371.54 / $3,162.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $2.40 / $3.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $5.37 / $10.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $3.63 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.37 / $0.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $288.40 / $3,162.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.37 / $1.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.91 / $2.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37