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Texas rates for HCPCS J1632

Injection, brexanolone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.52 / $80.64 / $171.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $73.31 / $99.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.40 / $384.55 / $384.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.31 / $89.40 / $104.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.05 / $67.05 / $67.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $75.98 / $104.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $74.50 / $74.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $74.50 / $100.58