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Texas rates for HCPCS J1427

Injection Viltolarsen 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.14 / $55.50 / $129.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.14 / $55.50 / $75.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.53 / $57.53 / $57.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $57.53 / $57.53
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $293.95 / $293.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.50 / $67.68 / $79.37
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.76 / $50.76 / $50.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.53 / $57.53 / $79.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $57.53 / $57.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $56.40 / $56.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $56.40 / $76.14