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Texas rates for HCPCS 80375

Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 1-3

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.06 / $0.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $19.66 / $19.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.81 / $8.81 / $8.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $4.36 / $457.97
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.89 / $23.96 / $25.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.08 / $14.08 / $14.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $91.80 / $127.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.23 / $23.95 / $29.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $135.76 / $135.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.50 / $22.84 / $35.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $11.20 / $59,999.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $24.01 / $127.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $12.33 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.58 / $10.16 / $14.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.40 / $8.40 / $12.42