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Texas rates for HCPCS J8562

Oral Fludarabine Phosphate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.43 / $370.28 / $370.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.87 / $76.83 / $78.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.86 / $85.00 / $87.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.68 / $85.86 / $107.63
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $134.22 / $134.22
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,758.86 / $1,758.86 / $1,758.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.68 / $81.77 / $92.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.43 / $69.43 / $69.43
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.80 / $143.90 / $158.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.68 / $81.77 / $89.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,400,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.57 / $92.57 / $92.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.23 / $80.23 / $112.32