go back

Texas rates for HCPCS J2760

Phentolaine Mesylate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.02 / $647.19 / $890.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $436.34 / $610.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.42 / $681.49 / $1,489.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $338.66 / $338.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.57 / $432.02 / $432.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $432.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.66 / $2,160.10 / $2,246.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.98 / $436.51 / $636.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.38 / $432.02 / $783.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.18 / $432.02 / $617.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.38 / $432.02 / $714.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $432.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.63 / $394.63 / $583.23