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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
$2.40 / $38.02 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $2.82 / $5.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.55 / $1.55
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $3.98 / $69.18
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.58 / $1.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $34.67 / $89.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $2.24 / $5.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.66 / $1.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58