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Texas rates for HCPCS 80074

Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.96 / $266.72 / $679.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.58 / $37.96 / $54.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.86 / $28.58 / $33.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.39 / $149.56 / $274.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $25.24 / $46.68
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.25 / $73.83 / $333.89
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.72 / $49.05 / $76.20
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.63 / $50.01 / $50.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.29 / $101.09 / $238.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.24 / $37.04 / $80.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.33 / $260.00 / $260.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.68 / $63.54 / $78.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.97 / $47.63 / $150.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.87 / $47.63 / $80.19
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.02 / $320.26 / $2,351.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.18 / $47.63 / $119.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.24 / $39.11 / $68.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $27.95 / $38.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $23.52 / $47.63