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Texas rates for HCPCS J9130

Dacarbazine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $8.91 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.07 / $42.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $4.07 / $4.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.17 / $12.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $7.76 / $107.15
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $4.37 / $13.49
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $4.07 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.57 / $9.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $7.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $4.17 / $4.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $6.61 / $8.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.79 / $10.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $5.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.37 / $6.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $5.13