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Texas rates for HCPCS J1746

Injection Ibalizumab-Uiyk 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.26 / $126.49 / $173.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $80.05 / $111.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.22 / $147.97 / $281.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.01 / $75.01 / $75.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.77 / $79.26 / $79.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.35 / $388.37 / $396.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.39 / $113.34 / $116.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.54 / $79.26 / $143.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.77 / $79.26 / $114.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.89 / $79.26 / $139.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.20 / $79.20 / $79.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.13 / $77.13 / $107.00