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Texas rates for HCPCS J1324

Injection, enfuvirtide, 1 mg

Facilitymedian $1 · 10th–90th $1–$60%10%20%10th90th$1Professionalmedian $1 · 10th–90th $1–$30%50%10th90th$1$0.5$2.0$10.0$50.0

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
$1.10 / $1.29 / $3.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.78 / $26.30
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $1.58 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.68
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $1.10 / $3.24
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $1.10 / $24.55
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $0.81 / $5.75
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $1.32 / $1.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.66 / $0.66