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Texas rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.33 / $511.60 / $2,369.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.33 / $299.64 / $419.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.56 / $1,087.22 / $2,169.28
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.94 / $322.27 / $1,231.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.88 / $1,581.00 / $1,581.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.22 / $299.64 / $428.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.62 / $274.07 / $467.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.06 / $310.61 / $428.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.07 / $310.61 / $386.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.30 / $298.30 / $298.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.30 / $298.30 / $402.71