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Texas rates for HCPCS J3397

Injection, vestronidase alfa-vjbk, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.74 / $293.98 / $625.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.74 / $267.25 / $361.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.02 / $277.02 / $277.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.02 / $277.02 / $277.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.62 / $1,371.66 / $1,399.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.25 / $325.92 / $382.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.44 / $244.44 / $244.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.25 / $277.02 / $382.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.02 / $277.02 / $277.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.60 / $271.60 / $271.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.70 / $263.70 / $356.00