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Texas rates for HCPCS 83704

Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $63.10 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $28.18 / $40.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $20.42 / $28.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $112.20 / $194.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $18.62 / $33.88
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $45.71 / $63.10
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $33.88 / $54.95
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $66.07 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $22.91 / $52.48
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $32.36 / $56.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $33.88 / $63.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $28.84 / $40.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $28.84 / $28.84
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $33.88 / $100.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $22.91 / $52.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $20.42 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $18.62 / $28.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $33.88