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Texas rates for HCPCS J1364

Erythro Lactobionate /500 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.62 / $117.49 / $412.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $65.26 / $105.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.99 / $169.48 / $370.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.34 / $98.34 / $133.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.96 / $64.62 / $64.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $64.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.22 / $378.80 / $378.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.38 / $75.05 / $95.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.29 / $64.62 / $117.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.52 / $64.62 / $92.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.13 / $64.62 / $112.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.47 / $108.83 / $108.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $64.62
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.14 / $62.14 / $87.24