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Texas rates for HCPCS J2515

Injection Pentobarbital Sodium Per 50 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.71 / $72.77 / $253.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.70 / $51.98 / $70.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.34 / $94.56 / $184.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.51 / $36.51 / $36.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.87 / $53.87 / $53.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.87 / $53.87 / $53.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $170.50 / $237.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.88 / $22.60 / $74.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.42 / $12.31 / $47.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.84 / $53.87 / $74.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.31 / $53.87 / $53.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.41 / $111.41 / $111.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.82 / $52.82 / $52.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.83 / $52.83 / $71.31