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Texas rates for HCPCS J3280

Injection, thiethylperazine maleate, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $6.69 / $14.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $6.08 / $8.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.00 / $95.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.57 / $6.08 / $8.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $5.57 / $8.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $4.76 / $8.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $5.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $6.43