go back

Texas rates for HCPCS J2425

Injection, palifermin, 50 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $57.54 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $45.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $51.29 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $45.71 / $74.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $36.31 / $39.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $36.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $52.48 / $114.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $39.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $36.31 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31