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Texas rates for HCPCS J3000

Injection, streptomycin, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.49 / $50.59 / $64.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.69 / $37.04 / $43.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.50 / $170.85 / $356.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.25 / $77.25 / $77.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.61 / $36.69 / $36.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.69 / $36.69 / $36.69
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.69 / $124.77 / $124.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.64 / $36.69 / $54.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.51 / $36.69 / $66.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.69 / $36.69 / $52.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.54 / $36.69 / $51.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.69 / $36.69 / $36.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.26 / $28.26 / $49.53