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Texas rates for HCPCS 38242

Allogeneic lymphocyte infusions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.41 / $124.03 / $2,228.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.54 / $1,009.90 / $3,494.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $4,989.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.63 / $153.43 / $203.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.63 / $168.48 / $344.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $2,064.00 / $4,554.00