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Texas rates for HCPCS J9600

Injection, porfimer sodium, 75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,390.08 / $27,539.80 / $45,228.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,390.08 / $22,949.83 / $26,588.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,671.20 / $54,611.42 / $103,371.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,145.14 / $24,145.14 / $24,145.14
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $23,789.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $23,789.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,588.22 / $121,142.10 / $121,142.10
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103,405.50 / $106,352.88 / $125,944.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,563.56 / $22,949.83 / $32,017.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,078.89 / $3,980.88 / $20,990.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $27.40 / $3,094.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,580.37 / $23,229.71 / $32,519.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $27,987.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $24,722.38 / $25,963.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $23,323.00 / $32,652.20