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Texas rates for HCPCS 0311U

Infectious disease (bacterial), quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)-based antimicrobial susceptibility for each organism identified

Facilitymedian $10 · 10th–90th $5–$420%10%10th90th$10Professionalmedian $6 · 10th–90th $4–$80%20%10th90th$6$5.0$10.0$20.0$50.0

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
$5.25 / $12.02 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $7.94
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $16.60 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $10.00 / $12.30
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $8.13 / $14.13
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $8.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.03
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $8.13 / $20.42
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $8.13 / $15.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $8.13 / $9.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $8.13
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $5.62 / $77.62