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Texas rates for HCPCS J1447

Injection, tbo-filgrastim, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.72 / $1,116.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $2.13 / $4.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.50 / $130.50 / $130.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.28 / $0.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.40 / $4.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.31 / $0.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.28 / $0.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.31 / $0.31
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.38 / $0.40