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Texas rates for HCPCS 0025U

Tenofovir, by liquid chromatography with tandem mass spectrometry (LC-MS/MS), urine, quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $123.03 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $69.18 / $93.33
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $154.88 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $131.83 / $3,630.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $91.20 / $165.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $67.61 / $114.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $112.20 / $213.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $91.20 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $47.86 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $39.81 / $66.07
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11