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Texas rates for HCPCS J1448

Injection, trilaciclib, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $8.18 / $11.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.52 / $7.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.53 / $14.00 / $26.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.46 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $7.81 / $8.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $5.46 / $9.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.46 / $7.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $5.46 / $9.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $6.08 / $6.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.37 / $7.37