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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
$269.15 / $446.68 / $891.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $269.15 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $371.54 / $630.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $269.15 / $275.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $380.19 / $912.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $281.84 / $281.84