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Texas rates for HCPCS J2797

Injection, rolapitant, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.74 / $2.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.05 / $1.51
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $0.89 / $0.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.89 / $0.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $1.00 / $1.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $30.20 / $30.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $1.07 / $1.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.89 / $0.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.98 / $1.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.89 / $1.12