go back

Texas rates for HCPCS J0365

Injection, aprotinin, 10,000 kiu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.12 / $3.18 / $4.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.17 / $2.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.14 / $872.10 / $872.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $2.65 / $3.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.98 / $2.45 / $4.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $2.65 / $3.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.65 / $2.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $3.58