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Texas rates for HCPCS J9302

Injection, ofatumumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.96 / $74.19 / $139.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.92 / $63.96 / $72.40
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $61.54 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.54 / $61.54 / $61.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.79 / $329.55 / $329.55
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,649.11 / $2,649.11 / $2,649.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.92 / $63.96 / $126.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.30 / $63.96 / $363.51
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $79.90 / $143.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.92 / $63.96 / $129.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.54 / $61.54 / $75.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.34 / $63.96 / $67.17
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.34 / $60.34 / $84.48