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Texas rates for HCPCS J2540

Injection, penicillin G potassium, up to 600,000 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $22.74 / $255.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.80 / $1.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $3.75 / $7.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.06 / $1.06
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $5.49 / $13.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.79 / $0.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.88 / $1.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.79 / $1.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.79 / $1.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.79 / $1.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $1.07