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Texas rates for HCPCS J0770

Colistimethate Sodium Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.53 / $20.13 / $27.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.19 / $18.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.23 / $40.49 / $81.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $19.35 / $19.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.32 / $13.06 / $13.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.06
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
$11.39 / $18.68 / $32.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.53 / $13.06 / $23.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.32 / $13.06 / $19.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.23 / $13.06 / $22.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.70 / $19.70 / $19.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.06
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.39 / $12.16 / $17.63