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Texas rates for HCPCS J0699

Injection Cefiderocol 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $3.63 / $5.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.44 / $3.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $4.78 / $9.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.40 / $4.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.42 / $2.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $3.46 / $3.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $2.42 / $4.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.42 / $3.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.42 / $4.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $3.27