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Texas rates for HCPCS J0725

Injection Chorionic Gonadotropin Per 1 000 Usp Units (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.44 / $32.20 / $45.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.62 / $24.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.88 / $49.20 / $102.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.74 / $10.74 / $10.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.39 / $18.44 / $18.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $18.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $113.10 / $113.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.43 / $18.44 / $27.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.13 / $18.44 / $35.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.49 / $18.44 / $26.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.42 / $18.44 / $33.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $18.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.51 / $19.67 / $24.89