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Texas rates for HCPCS 80376

Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 4-6

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
$2.48 / $2.48 / $4.17
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.23 / $16.23 / $16.23
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.17 / $13.17 / $13.17
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 / $18.18 / $40.07
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 / $34.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $4.88 / $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
$5.09 / $19.43 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.58 / $10.16 / $14.51
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.72 / $8.72 / $11.56