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Texas rates for HCPCS J2720

Injection, protamine sulfate, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $34.95 / $89.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.76 / $2.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $3.01 / $6.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.54 / $1.54
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $3.69 / $5.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.20 / $25.20 / $25.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.74 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
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
$0.53 / $2.52 / $26.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.75 / $2.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $1.74 / $2.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $1.74 / $2.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.75
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.13 / $2.36