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Texas rates for HCPCS 81554

Pulmonary disease (idiopathic pulmonary fibrosis [IPF]), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positive or negative for high probability of usual interstitial pneumonia [UIP])

Facilitymedian $6,918 · 10th–90th $3,548–$26,3030%10%10th90th$6,918Professionalmedian $4,266 · 10th–90th $3,020–$7,4130%20%10th90th$4,266$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$3,630.78 / $8,912.51 / $28,183.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,365.16 / $6,606.93
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $5,495.41 / $5,495.41
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $5,495.41 / $5,495.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $11,220.18 / $24,547.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,467.37 / $8,709.64
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $25,118.86 / $25,118.86
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26,915.35 / $40,738.03 / $40,738.03
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $5,495.41 / $10,964.78
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $4,570.88 / $8,128.31
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,888.44 / $11,481.54
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $5,370.32 / $15,135.61
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $4,265.80 / $8,709.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $5,495.41 / $6,606.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $5,495.41
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,801.89 / $5,370.32