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Texas rates for HCPCS J0490

Injection, belimumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.07 / $102.96 / $6,659.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.63 / $76.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.59 / $107.80 / $212.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.41 / $51.41 / $51.41
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.32 / $77.70 / $10,782.35
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.80 / $56.07 / $89.71
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,201.35 / $3,201.35 / $3,201.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.89 / $56.07 / $56.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.07 / $56.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $274.85 / $280.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.01 / $80.18 / $82.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.01 / $56.07 / $101.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.89 / $56.07 / $80.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.88 / $56.07 / $99.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.70 / $90.70 / $90.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.07 / $56.07
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.91 / $54.91 / $75.69