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Texas rates for HCPCS J3320

Injection Spectinomycin Dihydrochloride Up To 2 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.38 / $32.00 / $68.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.38 / $29.09 / $40.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.16 / $30.16 / $30.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.21 / $29.09 / $41.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.61 / $26.61 / $26.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.09 / $30.08 / $41.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $40.61