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Texas rates for HCPCS 0304U

Hematology, red blood cell (RBC) adhesion to endothelial/subendothelial adhesion molecules, functional assessment, whole blood, with algorithmic analysis and result reported as an RBC adhesion index; normoxic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,370.03 / $3,632.65 / $10,112.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.45 / $1,494.58 / $2,490.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,075.80 / $2,075.80 / $2,075.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,311.49 / $1,452.38 / $5,204.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,075.73 / $2,385.08 / $2,981.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,321.28 / $9,860.04 / $9,860.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,266.24 / $2,075.80 / $2,490.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,868.22 / $2,075.80 / $2,075.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,266.24 / $2,075.80 / $2,490.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.37 / $1,972.01 / $2,189.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.84 / $871.84 / $1,245.48
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.04 / $12.34 / $2,075.80