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Texas rates for HCPCS J0706

Injection, caffeine citrate, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.68 / $3.94 / $677.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.68 / $2.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $3.49 / $6.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $0.98 / $0.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
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
$0.41 / $1.45 / $4.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $2.75 / $5.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $1.23 / $2.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $4.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.46 / $1.97