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Texas rates for HCPCS J0745

Injection, codeine phosphate, per 30 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $1.10 / $2.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.85 / $1.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $3.23 / $6.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $1.44 / $1.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $158.25 / $158.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $1.26 / $1.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.13 / $1.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $1.35 / $1.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.13 / $1.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $1.60 / $1.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.74