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Texas rates for HCPCS J0895

Injection, deferoxamine mesylate, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $17.38 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $13.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $16.98 / $31.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $8.51 / $8.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $12.30 / $20.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $10.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $6.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $12.02 / $26.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $9.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.51