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Texas rates for HCPCS J9201

Injection Gemcitabine Hydrochloride Not Otherwise Specified 200 Mg (Desc Rvsd 1/1/20)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $73.00 / $484.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.16 / $62.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $2.96 / $2.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.38 / $4.38 / $16.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $4.38 / $4.38
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.67 / $10.67 / $152.38
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $6.26 / $123.29
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $120.00 / $120.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $3.13 / $3.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.25
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $2,529.12 / $2,529.12
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.47 / $502.47 / $502.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.96 / $3.99 / $150.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.19 / $5.19
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.95 / $18.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $3.75 / $148.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $4.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.32 / $38.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $3.13 / $4.38