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Texas rates for HCPCS J9210

Injection, emapalumab-lzsg, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.85 / $564.86 / $832.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $388.70 / $534.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.15 / $1,273.61 / $2,662.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.06 / $384.85 / $384.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $384.85 / $384.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$869.28 / $2,207.94 / $2,207.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.64 / $550.34 / $566.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.23 / $384.85 / $697.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.06 / $384.85 / $555.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.75 / $384.85 / $681.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $424.69 / $428.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.57 / $376.57 / $519.54