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Texas rates for HCPCS J0637

Injection, caspofungin acetate, 5 mg

Facilitymedian $11 · 10th–90th $5–$580%5%10%10th90th$11Professionalmedian $3 · 10th–90th $3–$60%50%90th$3$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $7.76 / $13.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $6.46
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $30.90 / $74.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $8.91 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.55
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $5.75 / $13.18
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.80 / $10.72
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $5.01
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $5.62 / $26.30
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $5.50 / $5.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.80 / $3.80