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Texas rates for HCPCS J0841

Injection, crotalidae immune F(ab')2 (equine), 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.15 / $1,684.56 / $3,638.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,055.59 / $1,461.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,220.00 / $3,087.82 / $6,161.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.99 / $1,045.15 / $1,045.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,045.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,464.00 / $6,321.05 / $6,321.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.14 / $1,494.56 / $2,364.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.11 / $1,045.15 / $1,894.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.99 / $1,045.15 / $1,509.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.63 / $1,045.15 / $1,859.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.55 / $1,043.55 / $1,721.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,045.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.17 / $1,027.17 / $1,410.95