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Texas rates for HCPCS J1205

Injection, chlorothiazide sodium, per 500 mg

Facilitymedian $151 · 10th–90th $69–$7240%5%10th90th$151Professionalmedian $58 · 10th–90th $58–$950%50%90th$58$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $117.49 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $97.72
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $389.05 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $114.82 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $724.44 / $724.44
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $100.00 / $281.84
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $117.49
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $60.26
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $83.18 / $338.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $53.70 / $53.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $57.54 / $57.54