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Texas rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.35 / $41.18 / $202.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.83 / $8.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.41 / $11.16 / $22.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.67 / $4.67 / $4.67
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.33 / $5.13 / $86.95
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.13 / $34.13 / $34.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $4.78 / $4.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
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
$5.13 / $8.85 / $64.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $4.78 / $8.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $4.78 / $7.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $4.78 / $8.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $6.45