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Texas rates for HCPCS J0280

Injection, aminophylline, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.30 / $13.75 / $57.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $10.43 / $11.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $2.24 / $7.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.90 / $5.90 / $5.90
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.77 / $8.33 / $61.59
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.36 / $6.36 / $6.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.76 / $10.34 / $10.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $10.34 / $10.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $10.44 / $19.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.23 / $9.77 / $18.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $10.34 / $14.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $10.34 / $11.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $10.34 / $10.34
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.17 / $5.17 / $13.96