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Texas rates for HCPCS J2916

Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.56 / $83.60 / $919.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.04 / $3.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.84 / $4.61 / $11.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.19
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $7.34 / $399.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.02 / $2.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
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
$2.04 / $2.92 / $6.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.02 / $3.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.02 / $4.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $2.02 / $3.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $1.99 / $2.73