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Texas rates for HCPCS 80202

Vancomycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.18 / $54.20 / $300.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $11.51 / $23.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.50 / $8.11 / $9.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.11 / $43.46 / $81.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $7.18 / $9.07
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.86 / $19.63 / $30.47
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.48 / $13.54 / $20.32
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.54 / $14.22 / $14.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.46 / $29.74 / $68.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.18 / $9.93 / $22.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.19 / $108.80 / $108.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.83 / $13.54 / $20.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.19 / $13.54 / $16.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.83 / $13.54 / $34.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.18 / $10.43 / $19.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $7.80 / $11.06
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.28 / $6.69 / $13.54