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Texas rates for HCPCS J7178

Injection, human fibrinogen concentrate, not otherwise specified, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $2.63 / $3.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.53 / $2.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.13 / $2.89 / $5.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.38 / $1.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.52 / $1.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $2.17 / $2.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.53 / $2.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.52 / $2.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $2.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $2.04