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Texas rates for HCPCS 81200

ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X)

Facilitymedian $89 · 10th–90th $35–$2450%5%10%10th90th$89Professionalmedian $35 · 10th–90th $20–$680%10%20%10th90th$35$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $83.18 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $36.31 / $77.62
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $151.36 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $25.70 / $64.57
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $46.77 / $66.07
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $194.98 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $100.00 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $44.67 / $87.10
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $354.81 / $354.81
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $46.77 / $93.33
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $39.81 / $70.79
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $47.86
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $51.29 / $100.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $52.48 / $158.49
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $54.95 / $91.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $46.77 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $46.77
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $32.36 / $46.77