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Texas rates for HCPCS J1729

Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.10 / $14.76 / $31.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.10 / $13.42 / $18.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.82 / $27.69 / $59.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.86 / $13.86 / $13.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $13.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $13.91 / $13.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $90.90 / $90.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.42 / $16.37 / $19.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.28 / $12.28 / $12.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $19.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $13.91 / $13.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $13.64 / $13.64
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $13.64 / $18.41