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Texas rates for HCPCS J9246

Injection Melphalan (Evomela) 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.89 / $28.80 / $36.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $18.68 / $23.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.45 / $18.50 / $18.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $18.50 / $18.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $134.80 / $134.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.37 / $26.46 / $27.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.03 / $18.50 / $33.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.45 / $18.50 / $26.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.42 / $18.50 / $32.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $20.59 / $20.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $18.00 / $24.98