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Texas rates for HCPCS J0744

Injection, ciprofloxacin for intravenous infusion, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.96 / $15.69 / $212.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.93 / $3.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $3.74 / $7.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.35
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.85 / $6.85 / $7.20
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.00 / $24.00 / $24.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $2.90 / $2.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $2.90
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
$2.29 / $4.26 / $25.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $2.75 / $5.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $2.90 / $4.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.90 / $3.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.56 / $3.47 / $3.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $2.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $3.92