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Texas rates for HCPCS J2460

Injection, oxytetracycline HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $0.99 / $2.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.90 / $1.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $1.05 / $1.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.27