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Texas rates for HCPCS J7503

Tacrolimus, extended release, (Envarsus XR), oral, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $3.24 / $50.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.85 / $2.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $2.27 / $5.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $1.79 / $1.79
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $2.10 / $14.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $1.87 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.83 / $1.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $95.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.48 / $552.48 / $552.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.83 / $2.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.83 / $3.02
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $3.40 / $3.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.83 / $2.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $2.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.83 / $2.56