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Texas rates for HCPCS J7308

Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.09 / $684.67 / $905.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $396.01 / $437.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.51 / $975.73 / $1,923.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.01 / $405.01 / $405.01
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.29 / $215.29 / $215.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.90 / $392.09 / $392.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $401.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.73 / $1,973.75 / $1,973.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.44 / $393.87 / $497.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $399.93 / $566.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.08 / $392.09 / $411.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $425.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.84 / $392.09 / $392.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $395.26 / $529.32