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Texas rates for HCPCS J9050

Carmustine 100 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.38 / $271.83 / $518.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.53 / $238.46 / $262.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,865.03 / $6,710.89 / $14,325.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.37 / $363.37 / $363.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $232.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.96 / $238.46 / $408.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $238.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,492.28 / $10,081.35 / $10,081.35
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,586.83 / $16,586.83 / $16,586.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.38 / $181.30 / $683.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $243.23 / $393.46
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.62 / $274.22 / $565.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.41 / $238.46 / $683.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $450.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $252.77 / $265.45
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.64 / $238.46 / $333.84