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Texas rates for HCPCS 80364

Opioids and opiate analogs; 5 or more

Facilitymedian $12 · 10th–90th $3$520%10%20%10th90th$12Professionalmedian $13 · 10th–90th $5$60,2560%10%20%10th90th$13$2.0$20.0$200.0$2.0K$20.0K$200.0K$2.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $138.04
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.59
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $6.31 / $42.66
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $32.36 / $40.74
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $85.11
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $20.89 / $52.48
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.41 / $60,255.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $13.49 / $13.49
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $2,398,832.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $6.61 / $9.55
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.31 / $10.96