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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
$11.22 / $11.22 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $12.30 / $12.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $4.47 / $436.52
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.91 / $25.70
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $95.50 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $23.99 / $41.69
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $22.91 / $39.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $22.91 / $52.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $11.22 / $60,255.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $18.20 / $18.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $23.99 / $128.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $19.95 / $41.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $10.72 / $14.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $10.23 / $23.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.32 / $8.32