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Texas rates for HCPCS J1457

Injection Gallium Nitrate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.08 / $1.46 / $2.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.13 / $1.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.13 / $1.67 / $2.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.80 / $2.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $2.08 / $2.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $2.08 / $2.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.75