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Texas rates for HCPCS 0119U

Cardiology, ceramides by liquid chromatography-tandem mass spectrometry, plasma, quantitative report with risk score for major cardiovascular events

Facilitymedian $100 · 10th–90th $52$3800%10%10th90th$100Professionalmedian $60 · 10th–90th $7$830%10%10th90th$60$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $120.23 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $61.66 / $81.28
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $165.96 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $102.33 / $128.82
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $83.18 / $147.91
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $63.10 / $83.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $83.18 / $204.17
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $83.18 / $154.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $83.18 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $83.18
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $43.65 / $83.18