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Texas rates for HCPCS J0224

Oxlumo SC SOLN 94.5 MG/0.5ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.05 / $498.59 / $717.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.05 / $332.34 / $452.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.43 / $329.05 / $329.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.05 / $329.05 / $329.05
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.13 / $1,612.35 / $1,645.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.10 / $470.54 / $484.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.83 / $329.05 / $596.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.43 / $329.05 / $475.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.87 / $329.05 / $575.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.85 / $318.85 / $318.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.05 / $329.05 / $329.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.01 / $318.01 / $444.22