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Texas rates for HCPCS J1290

Injection, ecallantide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.97 / $1,007.56 / $1,289.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $585.76 / $811.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.29 / $1,240.92 / $2,451.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.14 / $579.97 / $579.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $579.97
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.08 / $2,841.85 / $2,899.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.04 / $585.76 / $854.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.99 / $579.97 / $1,051.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.53 / $579.97 / $837.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.07 / $579.97 / $1,019.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $579.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.10 / $563.10 / $782.96