go back

Texas rates for HCPCS J0456

Injection, azithromycin, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $19.44 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.06 / $4.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.15 / $10.17 / $20.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.11 / $3.11
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.87 / $18.75 / $19.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.88 / $15.88 / $15.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.92 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $4.63 / $129.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.45 / $4.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.92 / $2.04 / $4.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $3.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.13 / $2.75