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Texas rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.39 / $33.29 / $43.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $21.20 / $26.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.82 / $47.66 / $94.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.33 / $7.33 / $7.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $20.99 / $20.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $102.85 / $104.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $30.02 / $30.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $20.99 / $39.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $20.99 / $30.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.87 / $20.99 / $38.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.84 / $21.68 / $28.34