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Texas rates for HCPCS J1960

Injection, levorphanol tartrate, up to 2 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.41 / $0.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.37 / $0.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.29 / $3.38 / $3.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.78 / $95.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.61 / $4.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $2.75 / $5.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $3.06 / $4.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $2.75 / $5.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $4.25 / $4.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $3.17 / $4.28