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Texas rates for HCPCS J1325

Injection, epoprostenol, 0.5 mg

Facilitymedian $27 · 10th–90th $13–$630%10%10th90th$27Professionalmedian $15 · 10th–90th $15–$250%50%90th$15$10.0$20.0$50.0$100.0$200.0$500.0

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
$15.49 / $29.51 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $25.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $22.39 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $36.31 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
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
$15.14 / $23.44 / $38.02
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.85 / $27.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.60
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $19.95 / $46.77
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $26.30 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $16.22